Evans, Marivilla

Evans, Marivilla is an sole proprietor health care provider with primary practice located at 2400 67Th Ave S , St Petersburg FL 33712-5613. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Evans, Marivilla can be contacted via phone (727) 866-3739.

Contact Information

Primary practice address
2400 67Th Ave S St Petersburg FL 33712-5613
Phone: (727) 866-3739
Fax: (727) 867-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ND1270 Florida

Profile Details

NPI number 1518146372
LBN Legal business name Evans, Marivilla
Credentials LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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