Individual
NIKEYTA CATRICE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43825 MICHIGN AVE SUITE 2, CANTON, MI 48188
(734) 397-3088
Mailing address
3938 MILDRED ST, WAYNE, MI 48184-1913
(734) 780-0275
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109365
MI
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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