Individual
MS. AUDREY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 NW 43RD AVE, LAUDERHILL, FL 33313-6617
(754) 281-0781
Mailing address
1101 NW 43RD AVE, LAUDERHILL, FL 33313-6617
(754) 281-0781
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020208900
—
FL
Enumeration date
04/03/2019
Last updated
04/03/2019
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