Individual
AMANDA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 BOSTON POST RD, WATERFORD, CT 06385-2054
(860) 222-5513
Mailing address
292 S FRONTAGE RD # 1036, NEW LONDON, CT 06320-2641
(860) 222-5513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
70376
CT
Other
Enumeration date
07/26/2025
Last updated
07/31/2025
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