Individual
SHANNON MICHELLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
1581 NW 98TH AVE, PEMBROKE PINES, FL 33024-4331
(954) 668-9946
Mailing address
1581 NW 98TH AVE, PEMBROKE PINES, FL 33024-4331
(954) 668-9946
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW281
FL
Other
Enumeration date
10/01/2013
Last updated
10/02/2013
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