Latavia Evans

NPI #1598102766 in Woodside, New York

Provider Information

NPI Number
1598102766
Entity Type
Individual
Name
Latavia Evans
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
May 29, 2013
Last Updated
May 29, 2013

Practice Location

Address
5016 31ST AVE
Address 2
3A
ZIP Code
11377-1354
Phone
(718) 932-6703

Specialties & Taxonomy Codes

Specialty
Contractor

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