| Evolution Skincare Studio | |
|
24777 Greenfield Rd Southfield MI 48075-3065 | |
| (313) 779-1687 | |
| Not Available |
| Full Name | Evolution Skincare Studio |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 24777 Greenfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Trina M Harper (CEO) |
| Authorized Official Contact | 3137791687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Skincare Studio 24777 Greenfield Rd Southfield MI 48075-3065 Ph: (313) 779-1687 | Evolution Skincare Studio 24777 Greenfield Rd Southfield MI 48075-3065 Ph: (313) 779-1687 |
| NPI Number | 1356001804 |
|---|---|
| Provider Enumeration Date | 12/25/2021 |
| Last Update Date | 12/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356001804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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