SearchMichigan164W00000X

Latishia Evans

NPI 1871973206 · on the registry since 2015 · sole proprietor

Practice

Address
23050 Webster St
Oak Park, MI 48237
Phone
(313) 334-1012

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan