Individual
MISS MINERVA D EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34290 FORD RD, WESTLAND, MI 48185-3051
(734) 412-8800
(313) 396-5353
Mailing address
16300 N PARK DR APT 1501, SOUTHFIELD, MI 48075-4724
(248) 996-3748
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703080643
MI
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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