Individual
SAMANTHA JEAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21 E MAIN ST STE 302, BUCKHANNON, WV 26201-2910
(304) 473-6802
Mailing address
13 WOODY DR, BUCKHANNON, WV 26201-2437
(304) 940-0569
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28327
WV
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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