Angelica Detomaso

NPI #1912674854 in Richmond, Michigan

Provider Information

NPI Number: 1912674854
Entity Type: Individual
Name: Angelica Detomaso
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 27, 2021
Last Updated: Aug 27, 2021

Practice Location

Address: 400 STODDARD RD
City: Richmond
State: Michigan
ZIP Code: 48062-2505
Phone: (810) 392-2137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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