Individual
EVON LACHELLE DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
941 YALE ST, AKRON, OH 44311-1933
(330) 937-1024
Mailing address
941 YALE ST, AKRON, OH 44311-1933
(330) 937-1024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.505522
OH
164W00000X
Licensed Practical Nurse
LPN.159193.MEDS-IV
OH
Other
Enumeration date
10/24/2018
Last updated
08/01/2024
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