Individual
VALARIE EVANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1724 HEALEY WALK, SMYRNA, GA 30082-5068
(678) 626-7952
Mailing address
1724 HEALEY WALK, SMYRNA, GA 30082-5068
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004704
GA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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