Individual
KANDI EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
430 CHEEOTA CT, MINNEOLA, FL 34715-7679
(706) 263-2764
Mailing address
430 CHEEOTA CT, MINNEOLA, FL 34715-7679
(706) 263-2764
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN082616
GA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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