Individual
EVONNE KRISTEN IMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 LOMB MEMORIAL DR, ROCHESTER, NY 14623-5603
(585) 475-2411
Mailing address
1 LOMB MEMORIAL DR, ROCHESTER, NY 14623-5603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2025
Last updated
07/14/2025
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