Individual
SHARA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 NW LAKE CITY AVE, APT 103, LAKE CITY, FL 32055
(352) 410-3877
Mailing address
501 NW LAKE CITY AVE, APT # 103, LAKE CITY, FL 32055-4826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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