Individual
ELIZABETH MARGARET EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 W GLENHAVEN DR, PHOENIX, AZ 85045-1635
(480) 232-0380
(480) 460-0241
Mailing address
1818 W GLENHAVEN DR, PHOENIX, AZ 85045-1635
(480) 232-0380
(480) 460-0241
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2382I
AZ
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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