SearchMichigan372600000X

Angelique Mathis

NPI 1457177644 · on the registry since 2024

Practice

Address
9556 Pucker St
Berrien Center, MI 49102
Phone
(269) 635-3769
Fax
(269) 213-3303

Registry record

Primary taxonomy
372600000X
372600000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan