Individual
FAYETTA D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2449 W TORONTO ST, PHILADELPHIA, PA 19132-1333
(215) 869-5684
Mailing address
2449 W TORONTO ST, PHILADELPHIA, PA 19132-1333
(215) 869-5684
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
87373601
PA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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