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MR. RANDALL MONTEAL EVANS

Nursing Service Related Providers Chore Provider

Provider NPI: 1679009468

Provider Information:
MR. RANDALL MONTEAL EVANS 
Gender: M
Not Sole Proprietor

Practice Location:
226 BRUCE AVE  FERGUSON, MO 63135-2704 US
Tel: 314-372-5011  Fax: --

Business Mailing Address:
226 BRUCE AVE  FERGUSON, MO 63135-2704 US
Tel: 314-372-5011  Fax: --

NPI Information:
NPI: 1679009468
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N372500000XNursing Service Related Providers
Chore Provider
N372600000XNursing Service Related Providers
Adult Companion
N374T00000XNursing Service Related Providers
Christian Science Practitioner/Nurse
Y374U00000XNursing Service Related Providers
Home Health Aide

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 374U00000X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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