Individual
MS. AMANDA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6017 EVERGREEN BLVD, BERKELEY, MO 63134-2105
(314) 223-1792
Mailing address
6017 EVERGREEN BLVD, BERKELEY, MO 63134-2105
(314) 223-1792
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
74277A
MO
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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