Individual
BRENDA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 OAK, NORTH MIAMI, OK 74358
(918) 533-4401
Mailing address
PO BOX 258, NORTH MIAMI, OK 74358-0258
(918) 533-4401
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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