Individual
MRS. HELENA KAY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. A
Contact information
Practice address
176 ISLAND VIEW DR., TRAVERSE, MI 49696
(231) 313-9633
Mailing address
176 ISLAND VIEW DR., TRAVERSE, MI 49696
(231) 313-9633
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
D3013N
MI
374U00000X
Home Health Aide
Primary
374U00000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9674527
—
MI
Enumeration date
10/09/2013
Last updated
10/09/2013
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