Individual
EVA FUNCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
PO BOX 7094, GULFPORT, MS 39506-7094
(228) 297-6640
Mailing address
PO BOX 7094, GULFPORT, MS 39506-7094
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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