Individual
CHARLOTTE D EVANCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 PARK AVE., AMHERST, OH 44001
(216) 376-6717
Mailing address
PO BOX 144, NORTH OLMSTED, OH 44070-0144
(216) 376-6717
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2471687
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2471687
—
OH
Enumeration date
11/23/2021
Last updated
11/23/2021
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