MRS. Kim I Evenson

NPI #1346605425 in Zimmerman, Minnesota

Provider Information

NPI Number
1346605425
Entity Type
Individual
Name
MRS. Kim I Evenson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Dec 16, 2015
Last Updated
Dec 16, 2015

Practice Location

Address
27911 LAKE DIANN RD
ZIP Code
55398-4268
Phone
(763) 856-0912

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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