NPI 1598102766

Latavia Evans

Practitioner Contractor Woodside, NY

Practice location

Address: 5016 31st Ave 3a, Woodside, NY 11377-1354
Phone: (718) 932-6703

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1598102766
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2013
Record last updated: 29 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.