Individual
MRS. DANA MARIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16213 CARLOW CIR, MANHATTAN, IL 60442-6112
(815) 478-0428
Mailing address
16213 CARLOW CIR, MANHATTAN, IL 60442-6112
(815) 478-0428
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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