Individual
CRYSTAL EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 DELAWARE AVE, MARION, OH 43302-6475
(740) 736-2033
Mailing address
1199 DELAWARE AVE, MARION, OH 43302-6475
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-165423.MEDS-IV
OH
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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