Edica Evans
Non-emergency Medical Transport (VAN) in Forrest City, AR. Individual provider (NPI-1).
NPI number1508565664
StatusActive
Last updated in NPPESMar 3, 2023
Details
- NPI
- 1508565664
- Entity type
- Individual (NPI-1)
- Name
- Edica Evans
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2023
- Certification date
- Mar 3, 2023
- Last updated
- Mar 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | AR | Yes |
Practice location
5042 Highway 284Forrest City, AR 72335-7681
Phone 870-995-1657
Mailing address
5042 Highway 284Forrest City, AR 72335-7681
Phone 870-995-1657
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