Individual
DR. LEOLA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 WASHINGTON PINE NE103, WASHINGTON, DC 20018
(757) 742-2327
Mailing address
2228 GOLDEN GARDEN CIR, CHESTER, VA 23836-6217
(757) 742-2327
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T64703610
DRIVERS LICENSES
VA
01
—
T64703610
DRIVERS LICENSE
—
Enumeration date
09/16/2022
Last updated
09/16/2022
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