Individual
MISS LATARSHA EVETT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N WALNUT ST, JEFFERSON, TX 75657-1934
(903) 665-6131
(903) 665-7244
Mailing address
PO BOX 901, JEFFERSON, TX 75657-0901
(903) 665-6131
(903) 665-7244
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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