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Individual

TASHAY EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
65009 DUNOMES LN, ROSELAND, LA 70456-2133
(985) 687-9512
Mailing address
65009 DUNOMES LN, ROSLAND, LA 70456
(985) 687-9512

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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