Individual
MICIA JENA EDDINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4217 ARETHA AVE, DETROIT, MI 48201-1556
(313) 729-7419
Mailing address
4217 ARETHA AVE, DETROIT, MI 48201-1556
(313) 729-7419
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-137388
—
374J00000X
Doula
—
—
Other
Enumeration date
09/30/2019
Last updated
06/03/2026
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