Individual
EVELYNE LAILANI KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 728-3684
Mailing address
184 MEADOW LN, PORT HURON, MI 48060-4885
(810) 728-3684
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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