KIM I EVENSON

ZIMMERMAN, MN
NPI1346605425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
(Licence: MN  1028725-7-AFC)
Enumeration Date2015-12-16
Last Update Date2015-12-16
Business Address
Mrs. KIM I EVENSON
27911 LAKE DIANN RD
ZIMMERMAN, MN 55398-4268
Phone number: 763-856-0912
Mailing Address
Mrs. KIM I EVENSON
27911 LAKE DIANN RD
ZIMMERMAN, MN 55398-4268
Phone number: 763-856-0912