Individual
MR. SPENCER GREGORY EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 312-1775
Mailing address
4403 HEYMAN LN APT 140, ALEXANDRIA, LA 71303-2811
(318) 312-1775
(318) 561-9693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
376K00000X
Nurse's Aide
Primary
325110
LA
Other
Enumeration date
06/13/2022
Last updated
11/06/2023
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