Individual
EVONE MARIE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S 30TH AVE, SHOW LOW, AZ 85901-5446
(520) 840-8911
Mailing address
621 S 30TH AVE, SHOW LOW, AZ 85901-5446
(520) 840-8911
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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