Charlie A Evanilla NP

NPI 1033286893 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1033286893
Gender Female
Enumeration Date 11/29/2006
Last Updated 09/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1011 BALDWIN PARK BLVD
BALDWIN PARK CA, 91706-5806, US
Phone (626) 851-1011
Fax
Business Location
1011 BALDWIN PARK BLVD
BALDWIN PARK CA, 91706-5806, US
Phone (626) 851-1011
Fax
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number NP811
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According to our database, Charlie A Evanilla NP NPI is 1033286893, taxonomy code is 363L00000X and license number is NP811, license state is located at California. Charlie A Evanilla NP physically located at 1011 Baldwin Park Blvd, Baldwin Park CA, 91706-5806. NPI Number Charlie A Evanilla NP has the Individual type.

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1033286893 NPI number is provided on an as is basis without warranty of any kind. 1033286893 is maintained by the National Plan & Provider Enumeration System. The contents of Charlie A Evanilla NP are for informational purposes only.