Individual
SHAYLA VICTORIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 REID AVE, APT C, LORAIN, OH 44052-3462
(440) 989-0276
Mailing address
1155 REID AVE, APT C, LORAIN, OH 44052-3462
(440) 989-0276
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401469971212
OH
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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