Individual
AGATTA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2410 CARNATION CT, NORTH PORT, FL 34289-2312
(941) 380-3302
Mailing address
2410 CARNATION CT, NORTH PORT, FL 34289-2312
(941) 380-3302
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L305900
FL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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