Individual
KASSIDY K EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2782 DAWSON CABIN RD, JACKSONVILLE, NC 28540-9533
(810) 333-1396
Mailing address
2782 DAWSON CABIN RD, JACKSONVILLE, NC 28540-9533
(810) 333-1396
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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