MS. Gwendolyn Lea Evans

NPI #1326301458 in Waverly, Ohio

Provider Information

NPI Number
1326301458
Entity Type
Individual
Name
MS. Gwendolyn Lea Evans
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 22, 2012
Last Updated
Jun 22, 2012

Practice Location

Address
178 MILL RUN RD
Address 2
LOT # 136
State
Ohio
ZIP Code
45690-9392
Phone
(740) 804-0446

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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