Individual
EVITA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 S PACKARD AVE, BURTON, MI 48509-2311
(810) 743-1007
Mailing address
1173 S PACKARD AVE, BURTON, MI 48509-2311
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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