Individual
BRENDA EVANCEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 CYPRESS BLVD, BABBITT, MN 55706-1238
(218) 827-2677
Mailing address
PO BOX 322, BABBITT, MN 55706-0322
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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