Individual
THERESA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
541 S STATE ROAD 7 STE 8, MARGATE, FL 33068-1711
(786) 294-4303
Mailing address
PO BOX 291285, DAVIE, FL 33329-1285
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Enumeration date
10/30/2012
Last updated
11/16/2012
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