Individual
CHARLETTE D EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2940 BROADWAY BLVD STE 111, GARLAND, TX 75041-3731
(469) 994-0694
Mailing address
4013 N GARLAND AVE APT 2, GARLAND, TX 75040-8557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT124078
TX
Other
Enumeration date
05/28/2019
Last updated
05/19/2022
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