Individual
ANNAMAE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13251 REECE BERGERON RD, BILOXI, MS 39532-7557
(228) 281-9155
Mailing address
1701 SPRINGRIDGE RD, GAUTIER, MS 39553-3124
(228) 281-9155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2136
MS
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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