Individual
JOAN ELLEN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE PROVIDER
Contact information
Practice address
1703 CREEK RD, SUNBURY, OH 43074-8379
(740) 965-8892
Mailing address
3757 WEEPING WILLOW BLVD, COLUMBUS, OH 43207-3467
(614) 491-8525
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
M2512516
OH
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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