Individual
TE'ONNA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 E 13 MILE RD STE WARREN, WARREN, MI 48093-3093
(586) 573-1810
Mailing address
16174 SPRENGER AVE, EASTPOINTE, MI 48021-3619
(734) 818-7153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
MI
01
—
568946544
BCBS
MI
01
—
5874
HEALTJ PARTNERS
MI
Enumeration date
07/01/2025
Last updated
07/01/2025
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