Individual
STACY A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4415 SHORES DR, SUITE 208, METAIRIE, LA 70006-6804
(504) 457-2181
(504) 457-2183
Mailing address
4415 SHORES DR, SUITE 208, METAIRIE, LA 70006-6804
(504) 457-2181
(504) 457-2183
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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