Individual
MRS. KALEISHA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 HUECO VALLEY DR APT 3103, EL PASO, TX 79938-5439
(915) 412-5803
Mailing address
3700 HUECO VALLEY DR APT 3103, EL PASO, TX 79938-5439
(915) 412-5803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
—
305S00000X
Point of Service
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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