Individual
JEANIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1187 PARK AVE APT 1, LINCOLN PARK, MI 48146-2685
(313) 422-5947
Mailing address
1187 PARK AVE APT 1, LINCOLN PARK, MI 48146-2685
(313) 422-5947
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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