Most Relevant Information
Provider Data
NPI Number: | 1003204272 |
Provider Name: | ANITA LOSOYA-EVON M.S. |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 12/22/2014 |
Last Updated: | 12/22/2014 |
Provider Practice Location
2711 W 15TH ST
PANAMA CITY
FL
324011366
Practice Location Phone/Fax
Phone: | 8507696001 |
Fax: |
Provider Mailing Location
211 ASPEN CIR
DOTHAN
AL
363032832
Provider Mailing Phone/Fax
Phone: | 3347917551 |
Fax: |