Organization
SHELLY EVANS DC INC
Active
Organization
SHELLY EVANS DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY LYNN EVANS D.C. (OWNER/PRESIDENT)
(813) 404-7619
Entity
Organization
Contact information
Practice address
6800 N DALE MABRY HWY STE 120, TAMPA, FL 33614-3959
(813) 404-7619
Mailing address
6800 N DALE MABRY HWY STE 120, TAMPA, FL 33614-3959
(813) 404-7619
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH7587
FL
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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