Individual
DANA JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2856 PICKERINGTON RD, CARROLL, OH 43112-9749
(740) 974-6533
Mailing address
2856 PICKERINGTON RD, CARROLL, OH 43112-9749
(740) 974-6533
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN120540
OH
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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