Individual
BRENDA L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1802 SE 187TH PL, VANCOUVER, WA 98683-9767
(503) 960-8382
Mailing address
1802 SE 187TH PL, VANCOUVER, WA 98683-9767
(503) 960-8382
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60416409
WA
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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