Individual
CHARIE M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 WATER ST STE A, SANTA CRUZ, CA 95060-4126
(831) 425-0420
Mailing address
550 WATER ST STE A, SANTA CRUZ, CA 95060-4126
(831) 425-0420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22891
CA
Other
Enumeration date
03/27/2013
Last updated
01/14/2016
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