Individual
DIANE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5530 SAINT ANTHONY RD, CELINA, OH 45822-9006
(419) 305-1605
Mailing address
5530 SAINT ANTHONY RD, CELINA, OH 45822-9006
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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