Individual
JODY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.
Contact information
Practice address
1321 MAIN ST UNIT A, OROVILLE, WA 98844-9384
(360) 986-9799
Mailing address
22 EASTLAKE RD, OROVILLE, WA 98844-9558
(360) 986-9799
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU 60731669
WA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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