Individual
EVALYN A VANEVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22130 SWAN ST APT 815, SOUTH LYON, MI 48178-1551
(517) 294-1867
Mailing address
22130 SWAN ST APT 815, SOUTH LYON, MI 48178-1551
(517) 294-1867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015127
MI
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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