JUAN Z EVANS

RIDGELAND, MS
NPI1871643965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA1660)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
MS. JUAN Z EVANS COTA-L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
MS. JUAN Z EVANS COTA-L
3072 FLEETWOOD DR
JACKSON, MS 39212-2545
Phone number: 601-346-5555