PROF. Marivilla Evans, LD

NPI #1518146372 in St Petersburg, Florida

Provider Information

NPI Number: 1518146372
Entity Type: Individual
Name: PROF. Marivilla Evans, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: LD
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 2400 67TH AVE S
City: St Petersburg
State: Florida
ZIP Code: 33712-5613
Phone: (727) 866-3739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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