Individual
NATASHA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 LASALLE ST, RACINE, WI 53402-4629
(262) 214-8097
Mailing address
2057 DOUGLAS AVE, RACINE, WI 53402-4615
(262) 214-8097
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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