Individual
GRACE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 28TH AVE SW STE 2, ALTOONA, IA 50009-3940
(515) 446-2075
Mailing address
1400 B AVE E APT 3D, OSKALOOSA, IA 52577-4248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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