Individual
EVELYN ELAINE DEMENT-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 WAYNE ST, BLOOMINGBURG, OH 43106-9009
(937) 403-5421
Mailing address
PO BOX 317, BLOOMINGBURG, OH 43106-0317
(937) 403-5421
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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