Individual
MR. ALVIN PELAYO EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.V.N.
Contact information
Practice address
1 CHISHOLM TRL, TRABUCO CANYON, CA 92679-1416
(949) 459-1589
(949) 459-1589
Mailing address
1 CHISHOLM TRL, TRABUCO CANYON, CA 92679-1416
(949) 459-1589
(949) 459-1589
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 208750
CA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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