Individual
BETTE ANN EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5790 CASA GRANDE WAY, BONITA, CA 91902-2109
(442) 999-0077
Mailing address
BETTE ANN EVENSON, UNIT 1804, CHULA VISTA, CA 91911-6989
(619) 838-2203
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N2435821
DRIVER LICENSE
CA
Enumeration date
05/27/2022
Last updated
05/27/2022
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