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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELIQUE LASHA MATHIS

Active

ANGELIQUE LASHA MATHIS is a Adult Companion healthcare provider located in BERRIEN CENTER, Michigan. NPI 1457177644 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · BERRIEN CENTER, MI

Registration Details

NPI Number
1457177644
Provider Type
Individual
Gender
Female
NPI Issued
Dec 3, 2024 (1.6834940511708 yrs)
Last Updated
Dec 3, 2024
License
AS1110418243 (MI)

Practice Information

Address
9556 PUCKER ST
BERRIEN CENTER, MI, 491029717
Browse MI providers · Browse ZIP 49102
Phone
2696353769
Fax
2692133303
Primary Specialty
Adult Companion
372600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.