Individual
NIKI LEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 ORO DAM BLVD W, OROVILLE, CA 95965-4346
(530) 534-8695
(530) 534-8690
Mailing address
PO BOX 1128, OROVILLE, CA 95965-1128
(530) 534-8693
(530) 534-8690
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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