Individual
MRS. DIANNA K EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28702 HIGHWAY A, FAIRVIEW, MO 64842-8160
(417) 652-3768
Mailing address
28702 HIGHWAY A, FAIRVIEW, MO 64842-8160
(417) 652-3768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MO
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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