Individual
MRS. MARILYN ANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2465 W 3RD ST, YUMA, AZ 85364-1713
(928) 782-6903
(928) 782-6903
Mailing address
2465 W 3RD ST, YUMA, AZ 85364-1713
(928) 782-6903
(928) 782-6903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
AZ
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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