Individual
DENISE ANN EVANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22862 INDIAN HOLLOW RD, WELLINGTON, OH 44090-9622
(216) 906-1083
Mailing address
22862 INDIAN HOLLOW RD, WELLINGTON, OH 44090-9622
(216) 906-1083
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4705951
DODD
OH
Enumeration date
07/12/2021
Last updated
07/12/2021
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