Individual
MRS. EVITA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 VIRGINIA PARK ST, DETROIT, MI 48206-2420
(313) 661-3300
Mailing address
7436 OAKLAND ST # 1021, DETROIT, MI 48211-1352
(313) 434-8004
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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