Individual
MS. MARY KAREN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE PROVIDER
Contact information
Practice address
3115 ARTHUR DR, LAKE HAVASU CITY, AZ 86404-9742
(928) 279-3100
Mailing address
3115 ARTHUR DR, LAKE HAVASU CITY, AZ 86404-9742
(928) 279-3100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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