Individual
LINDA JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9246 KENNARD RD, LODI, OH 44254-9752
(330) 416-5433
Mailing address
PO BOX 312, LODI, OH 44254-0312
(330) 416-5433
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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