Individual
MS. REBECCA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 652-1693
(209) 558-7538
Mailing address
PO BOX 3271, MODESTO, CA 95353-3271
(209) 558-7400
(209) 558-7538
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
850356
CA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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