Individual
EVELYNNE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 304, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
PO BOX 2272, WALNUT, CA 91788-2272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34371TLG
CA
Other
Enumeration date
03/25/2019
Last updated
06/30/2020
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