Individual
EDDIE JEROME EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19743 PRAIRIE ST, DETROIT, MI 48221-1729
(313) 460-4685
Mailing address
19743 PRAIRIE ST, DETROIT, MI 48221-1729
(313) 460-4685
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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