Individual
MRS. MARIAN EVANS FRIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 REESE DR APT 4, FAIRBORN, OH 45324-9015
(719) 360-9184
Mailing address
1600 REESE DR APT 4, FAIRBORN, OH 45324-9015
(719) 360-9184
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/23/2022
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