Organization
EVOLUTION SKINCARE STUDIO
Active
Organization
EVOLUTION SKINCARE STUDIO
Active
Parent organization
EVOLUTION SKINCARE STUDIO
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVOLUTION SKINCARE STUDIO
Authorized official
TRINA M HARPER (CEO)
(313) 779-1687
Entity
Organization
Contact information
Practice address
24777 GREENFIELD RD, SOUTHFIELD, MI 48075-3065
(313) 779-1687
Mailing address
24777 GREENFIELD RD, SOUTHFIELD, MI 48075-3065
(313) 779-1687
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/25/2021
Last updated
12/25/2021
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