Individual
MS. DANA TAMIKA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5609 W CARSON RD, LAVEEN, AZ 85339-2273
(602) 413-3403
(602) 276-1984
Mailing address
5609 W CARSON RD, LAVEEN, AZ 85339-2273
(602) 413-3403
(602) 276-1984
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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