Evanna Lonnique Evans
Student in an Organized Health Care Education/Training Program in Greenville, SC. Individual provider (NPI-1).
NPI number1669965018
StatusActive
Last updated in NPPESJun 11, 2018
Details
- NPI
- 1669965018
- Entity type
- Individual (NPI-1)
- Name
- Evanna Lonnique Evans
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2018
- Last updated
- Jun 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
402 S Texas AveGreenville, SC 29611-5619
Phone 864-908-2279
Mailing address
402 S Texas AveGreenville, SC 29611-5619
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