Individual
MS. TERRESSA YAVONNE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
411 VICTORIA STREET, WILLIAMSON, WV 25661
(304) 235-1444
(304) 235-1444
Mailing address
P.O. BOX 405, WILLIAMSON, WV 25661
(304) 235-1444
(304) 235-1444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006-
WV
Other
Enumeration date
03/15/2007
Last updated
04/10/2009
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