Individual
MR. DANIEL JON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
140 EAST AVE, WOODSTOWN, NJ 08098-1335
(856) 769-0144
(856) 769-3930
Mailing address
170 WOODSTOWN DARETOWN RD, PILESGROVE, NJ 08098-3340
(856) 769-8172
(856) 769-3930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00115200
NJ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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