Individual
CHEREE L EVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
3455 WOODMONT DR, MERIDIAN, ID 83646-1166
(208) 631-8912
Mailing address
3455 WOODMONT DR, MERIDIAN, ID 83646-1166
(208) 631-8912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
93758
ID
Other
Enumeration date
04/28/2008
Last updated
10/08/2010
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