SearchMichigan372500000X

Angela Malloy

NPI 1629753520 · on the registry since 2023

Practice

Address
15860 Ohio St
Detroit, MI 48238
Phone
(586) 801-2675

Registry record

Primary taxonomy
372500000X
372500000X
Also registered as
376K00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-19

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