Individual
GAIL ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
390 PIERCE STREET, KINGSTON, PA 18704
(570) 283-2120
(570) 714-9790
Mailing address
390 PIERCE ST, KINGSTON, PA 18704-5532
(570) 283-2120
(570) 714-9790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000807
PA
Other
Enumeration date
05/09/2006
Last updated
12/22/2009
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