Individual
SUSAN MARIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 LYON ST APT B, COLUMBIA, SC 29204-1993
(803) 200-8109
Mailing address
1319 LYON ST APT B, COLUMBIA, SC 29204-1993
(803) 200-8109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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