Individual
ANDREA LORRAINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33250 WARREN RD, WESTLAND, MI 48185-2920
(313) 229-3109
Mailing address
882 OAKMAN BLVD STE C, DETROIT, MI 48238-4019
(313) 229-3109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704222080
MI
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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