Individual
MICHELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1273 MELROSE DR, MANSFIELD, OH 44905-1646
(419) 566-1788
Mailing address
1273 MELROSE DR, MANSFIELD, OH 44905-1646
(419) 566-1788
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
241229
OH
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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