Individual
EVELYN JEANETTE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3272A ENTERPRISE RD, LIBERTY, MS 39645-8003
(601) 810-4955
(225) 683-1395
Mailing address
3272A ENTERPRISE RD, LIBERTY, MS 39645-8003
(601) 810-4955
(225) 683-1395
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
137699
MS
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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