LATISHIA EVANS

OAK PARK, MI
NPI1871973206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  47030394003)
Enumeration Date2015-06-01
Last Update Date2015-06-01
Business Address
-- LATISHIA EVANS
23050 WEBSTER ST
OAK PARK, MI 48237-2119
Phone number: 313-334-1012
Mailing Address
-- LATISHIA EVANS
23050 WEBSTER ST
OAK PARK, MI 48237-2119
Phone number: 313-334-1012
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