Individual
CHIQUEATA LASHAY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 E 10TH AVE, HAVANA, FL 32333-1918
(850) 980-3482
Mailing address
304 E 10TH AVE, HAVANA, FL 32333-1918
(850) 980-3482
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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