Individual
NATASHA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 11TH ST S, JACKSONVILLE BEACH, FL 32250-3347
(904) 945-2357
Mailing address
414 11TH ST S, JACKSONVILLE BEACH, FL 32250-3347
(904) 945-2357
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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