Individual
MRS. EVELINA R. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 326-3566
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 326-3566
(505) 326-5698
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2010
Last updated
01/13/2020
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