| Alisa Louise Evans, LPN | |
|
16126 Sussex St, Detroit, MI 48235-3852 | |
| (734) 772-8927 | |
| Not Available |
| Full Name | Alisa Louise Evans |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 16126 Sussex St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821833195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703127487 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Louise Evans, LPN 16126 Sussex St, Detroit, MI 48235-3852 Ph: (734) 772-8927 | Alisa Louise Evans, LPN 16126 Sussex St, Detroit, MI 48235-3852 Ph: (734) 772-8927 |
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