Individual
DIANE LATONYA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 LAMPLIGHTER CT, NORTH CHESTERFIELD, VA 23234-3427
(757) 434-4326
Mailing address
9507 HULL STREET RD STE G5, NORTH CHESTERFIELD, VA 23236-1254
(757) 434-4326
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1201144620
VA
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
Other
Enumeration date
01/07/2022
Last updated
09/16/2022
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