Individual
CHARLES EVANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3341 BLODWEN ST, LAS VEGAS, NV 89129-4061
(725) 259-7267
Mailing address
3341 BLODWEN ST, LAS VEGAS, NV 89129-4061
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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