Individual
MARY ALICE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6719 OAK SHADOW DR, WESTERVILLE, OH 43082-8744
(614) 565-5903
Mailing address
6719 OAK SHADOW DR, WESTERVILLE, OH 43082-8744
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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