Individual
EVETTE LEMILLE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PIGEONHOUSE CT, FAYETTEVILLE, NC 28311-0244
(910) 496-6896
Mailing address
101 PIGEONHOUSE CT, FAYETTEVILLE, NC 28311-0244
(706) 887-2137
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NC
225700000X
Massage Therapist
Primary
—
NC
225700000X
Massage Therapist
Primary
—
—
376K00000X
Nurse's Aide
CN0014238439
GA
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/15/2016
Last updated
03/10/2026
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