Individual
CANDICE A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3709 SAINT KEVIN PARK DR, SAINT ANN, MO 63074-2546
(314) 337-5463
Mailing address
3709 SAINT KEVIN PARK DR, SAINT ANN, MO 63074-2546
(314) 337-5463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2004011931
MO
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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