Fayanna Evans

NPI #1508057183 in Lakewood, Washington

Provider Information

NPI Number: 1508057183
Entity Type: Individual
Name: Fayanna Evans
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Aug 7, 2007
Last Updated: Aug 7, 2007

Practice Location

Address: 11315 BRIDGEPORT WAY SW
City: Lakewood
State: Washington
ZIP Code: 98499-3004
Phone: (253) 426-6753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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Organizations

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