Individual
CATINA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 E STATE ROAD 64, BRADENTON, FL 34208-5526
(941) 721-0649
Mailing address
604 11TH STREET DR W, PALMETTO, FL 34221-3800
(941) 592-2477
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH21944
FL
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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