Individual
CARMEN C EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 YELLOW WOOD WAY APT 209, BECKLEY, WV 25801-7129
(304) 254-8420
(304) 254-8422
Mailing address
713 S OAKWOOD AVE, BECKLEY, WV 25801-5968
(304) 254-8420
(304) 254-8422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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