Individual
MS. BROOKE MICHELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 PIERCE ST STE 201, KINGSTON, PA 18704-5512
(888) 862-0803
(888) 862-0803
Mailing address
480 PIERCE ST STE 201, KINGSTON, PA 18704-5512
(888) 862-0803
(888) 862-0803
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86115396
PA
133V00000X
Registered Dietitian
Primary
DN007107
PA
Other
Enumeration date
10/09/2019
Last updated
09/15/2023
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