Individual
DEMETRIA LOUISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3439 E 121ST ST, CLEVELAND, OH 44120-4301
(216) 372-1731
Mailing address
3439 E 121ST ST, CLEVELAND, OH 44120-4301
(216) 372-1731
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
123326789
OH
Other
Enumeration date
10/13/2021
Last updated
08/03/2022
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