Individual
CYD EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11520 CORONADO AVE NE, ALBUQUERQUE, NM 87122-2431
(505) 238-6282
(505) 856-7226
Mailing address
PO BOX 90685, ALBUQUERQUE, NM 87199-0685
(505) 238-6282
(505) 856-7226
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1314
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65202309
—
NM
Enumeration date
05/16/2007
Last updated
07/09/2007
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