Individual
DELLIA SALONE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1461 CANTON MART RD STE A, JACKSON, MS 39211-5413
(601) 977-0835
(601) 977-0689
Mailing address
1461 CANTON MART RD STE A, JACKSON, MS 39211-5413
(601) 977-0835
(601) 977-0689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
677
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735526
—
MS
Enumeration date
07/11/2006
Last updated
05/17/2022
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