Individual
ANGEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2752 MICHELLE CT, CREEDMOOR, NC 27522-7117
(919) 691-7021
Mailing address
2752 MICHELLE CT, CREEDMOOR, NC 27522-7117
(919) 691-7021
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
22981379
NC
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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