Brittany Evans
Technician, Attendant Care Provider in Saint Louis, MO. Individual provider (NPI-1).
NPI number1962024752
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1962024752
- Entity type
- Individual (NPI-1)
- Name
- Miss Brittany Evans
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2020
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
8301 Hawkesbury DrSaint Louis, MO 63121-1004
Phone 314-930-6962
Mailing address
8301 Hawkesbury DrSaint Louis, MO 63121-1004
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