Angelique Lasha Mathis
NPI #1457177644 in Berrien Center, Michigan
Provider Information
- NPI Number
- 1457177644
- Entity Type
- Individual
- Name
- Angelique Lasha Mathis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Enumeration Date
- Dec 3, 2024
- Last Updated
- Dec 3, 2024
Practice Location
- Address
- 9556 PUCKER ST
- City
- Berrien Center
- State
- Michigan
- ZIP Code
- 49102-9717
- Phone
- (269) 635-3769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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