Individual
EVELYN AMBER POLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
957 COLUMBIA PL SE, WARREN, OH 44484-4906
(330) 941-0453
Mailing address
957 COLUMBIA PL SE, WARREN, OH 44484-4906
(330) 941-0453
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
SP994723
OH
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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