Individual
MRS. AMANDA JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 RHODES AVE APT 207, NEW BOSTON, OH 45662-4956
(740) 456-0830
Mailing address
5704 KENTLAND AVE, SCIOTOVILLE, OH 45662-5469
(740) 776-7086
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231465427
—
OH
Enumeration date
01/25/2021
Last updated
01/25/2021
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