Individual
HEATHER MARIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
9233 E NEVILLE AVE UNIT 1112, MESA, AZ 85209-1511
(480) 351-0149
Mailing address
9233 E NEVILLE AVE UNIT 1112, MESA, AZ 85209-1511
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-155377
AZ
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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