Angel Cherlyn Fugaban
Case Manager/Care Coordinator in Livonia, MI. Individual provider (NPI-1).
NPI number1356090138
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1356090138
- Entity type
- Individual (NPI-1)
- Name
- Angel Cherlyn Fugaban
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2022
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
30502 Bretton StLivonia, MI 48152-1703
Phone 734-673-4720
Mailing address
30502 Bretton StLivonia, MI 48152-1703
Phone 734-673-4720
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