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Individual

MRS. JENNIFER EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDCS, RVT

Contact information

Practice address
275 CLINTON DR, STONEWALL, LA 71078-5405
(225) 235-1710
(888) 880-6308
Mailing address
275 CLINTON DR, STONEWALL, LA 71078-5405
(225) 235-1710
(888) 880-6308

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
ARDMS119468
LA
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
ARDMS119468
LA

Other

Enumeration date
04/06/2010
Last updated
06/04/2010
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