Individual
GERALDINE CANDY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9155 TELEGRAPH RD, TAYLOR, MI 48180-2365
(313) 291-6050
Mailing address
9155 TELEGRAPH RD, TAYLOR, MI 48180-2365
(313) 291-6050
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5353012513
MI
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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