Individual
KIJUANA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37037 CHARTER OAKS BLVD, CLINTON TWP, MI 48036-2407
(313) 646-0090
Mailing address
37037 CHARTER OAKS BLVD, CLINTON TWP, MI 48036-2407
(313) 646-0090
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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