Individual
JUDITH FLORENCE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Mailing address
2440 CADDIS CT APT 3, NORTH POLE, AK 99705-8410
(907) 978-2010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AK
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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