Individual
LAUREL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
850 W. ST. LUKE'S DR., SUITE 215, NAMPA, ID 83687
(208) 706-9025
(208) 489-4300
Mailing address
9850 W. ST. LUKE'S DR., SUITE 215, NAMPA, ID 83687
(208) 706-9040
(208) 489-4300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-610
ID
Other
Enumeration date
11/27/2012
Last updated
09/25/2018
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