Individual
MRS. EBONY LAQUAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 212-2800
Mailing address
143 NANOOK CIR, ANCHORAGE, AK 99504-1169
(907) 753-0131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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