Individual
MARIANNE EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 KINGSBRIDGE DR, GARLAND, TX 75040-3513
(972) 415-7870
Mailing address
110 KINGSBRIDGE DR, GARLAND, TX 75040-3513
(972) 415-7870
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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