IndividualActive
Angelique Mathis
NPI 1457177644 · Adult Companion · Berrien Center, MI
Provider details
- NPI number
- 1457177644
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AS1110418243 (MI)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
9556 Pucker St
Berrien Center, MI 49102-9717
Phone: (269) 635-3769
Fax: (269) 213-3303
Approximate (ZIP-level) locationGet directions
Mailing address
9556 Pucker St
Berrien Center, MI 49102-9717
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.