Individual
CHRIS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15542 CHASTE ST, FLORISSANT, MO 63034-2171
(800) 240-6976
Mailing address
15542 CHASTE ST, FLORISSANT, MO 63034-2171
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LC001509584
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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