Individual
EVA OKATCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4371 EDENWILD LN, CORONA, CA 92883-0719
(310) 876-9322
Mailing address
4371 EDENWILD LN, CORONA, CA 92883-0719
(310) 876-9322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
673534
CA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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