Individual
KAROL RENE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2442 PRIVATE ROAD 366, FREDONIA, TX 76842
(325) 347-4707
Mailing address
PO BOX 14, MASON, TX 76856-0014
(325) 347-4707
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
174319
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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