Individual
QUINNMESHIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2606 PEDDLERS VILLAGE RD STE 218, GOSHEN, IN 46526-1004
(574) 326-9166
Mailing address
72352 AMBER DR, MILFORD, IL 46542-9534
(574) 326-9166
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
BC22400817
IN
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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