| Jeanette Evans, Inc. | |
|
55 N Church St Suite #2 Wailuku HI 96793-1682 | |
| (808) 244-6881 | |
| Not Available |
| Full Name | Jeanette Evans, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 55 N Church St, Wailuku, Hawaii |
| Authorized Official Name and Position | Jeanette Christine Evans (PRESIDENT) |
| Authorized Official Contact | 8082446881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Evans, Inc. 3095 Kekaulike Ave Kula HI 96790-8483 Ph: (808) 244-6881 | Jeanette Evans, Inc. 55 N Church St Suite #2 Wailuku HI 96793-1682 Ph: (808) 244-6881 |
| NPI Number | 1316290489 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316290489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 501 (Hawaii) | Primary |
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