THEODORA GIST
Community Health Worker
Active
Individual
NPI: 1184503401
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1184503401 is the National Provider Identifier for THEODORA GIST, a Community Health Worker provider located in Detroit, MI. This NPI was enumerated on August 29, 2025.
THEODORA GIST practices at 5555 CONNER ST, Detroit, MI 48213.
Quick Facts
- NPI
- 1184503401
- Type
- Individual
- Enumerated
- Aug 29, 2025
- Last Updated
- Aug 29, 2025
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