| Glenda Pauletta Evans, LMT | |
|
16200 Fairview Cres, Southfield, MI 48076-1564 | |
| (313) 938-0565 | |
| Not Available |
| Full Name | Glenda Pauletta Evans |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 16200 Fairview Cres, Southfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437713088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7501011024 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Glenda Pauletta Evans, LMT 16200 Fairview Cres, Southfield, MI 48076-1564 Ph: (313) 938-0565 | Glenda Pauletta Evans, LMT 16200 Fairview Cres, Southfield, MI 48076-1564 Ph: (313) 938-0565 |
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