Individual
MARJORIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24901 NORTHWESTERN HWY STE 113, SOUTHFIELD, MI 48075-2200
(844) 369-9955
Mailing address
28350 RIVERVIEW DR, INKSTER, MI 48141-1797
(313) 629-2356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010038
MI
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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