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Latavia Evans
NPI 1598102766 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5016 31st Ave
3a
Woodside, NY 11377 - Phone
- (718) 932-6703
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York