Individual
ALISHIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 OLD NYACK TPKE STE 307, NANUET, NY 10954-2530
(845) 624-0260
Mailing address
127 ERIE AVE, NEW WINDSOR, NY 12553-7025
(845) 784-4439
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331101
NY
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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