Individual
ANGELA DOROTHY MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-8383
Mailing address
42456 CASTLE CT, CANTON, MI 48188-1119
(313) 308-6156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704267965
MI
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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