Teketra Evans, LPN, COSMETOLOGIST
NPI #1831732593 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1831732593
- Entity Type
- Individual
- Name
- Teketra Evans, LPN, COSMETOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Credential
- LPN, COSMETOLOGIST
- Enumeration Date
- Oct 24, 2019
- Last Updated
- Oct 24, 2019
Practice Location
- Address
- 39 E ZION RD
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-5000
- Phone
- (601) 606-4269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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