Individual
EVALYN MARIE LESTER-ROACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13336 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
Mailing address
13336 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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