Individual
MISS PATRICIA MARY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4885 ROUTE 9, STAATSBURG, NY 12580-6028
(845) 889-4034
Mailing address
4328 ALBANY POST RD, APT 2, HYDE PARK, NY 12538-3608
(518) 779-4948
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
007971
NY
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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