Individual
NATHANIEL SPENCER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNC
Contact information
Practice address
386 W LYLE AVE, SAN TAN VALLEY, AZ 85140-6684
(801) 698-8367
Mailing address
22304 E HERITAGE CT, QUEEN CREEK, AZ 85142-3868
(801) 698-8367
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1210674510
AZ
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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