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Contact Information

MARY K EVANS, CARE PROVIDER
3115 ARTHUR DR
LAKE HAVASU CITY, AZ86404-9742
 Phone: 928-279-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for MARY K EVANS · (Female)

NPI # 1740613934
Status Active
Credentials CARE PROVIDER
Entity Individual
Enumeration date 08/12/2013
Last updated 08/12/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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