THEODORA C GIST

DETROIT, MI
NPI1184503401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-08-29
Last Update Date2025-08-29
Business Address
THEODORA C GIST
5555 CONNER ST
DETROIT, MI 48213-3448
Phone number: 313-687-3633
Mailing Address
THEODORA C GIST
8900 E JEFFERSON AVE APT 215
DETROIT, MI 48214-2890
Phone number: 313-687-3633
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