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Individual

MR. EVAN M. CHALFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
638 MAIN STREET, FERNDALE, CA 95536-1157
(707) 786-4028
(707) 786-9029
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201702103NP-PP
OR
363LF0000X
Family Nurse Practitioner
341369
NY
363LF0000X
Family Nurse Practitioner
Primary
95008874
CA

Other

Enumeration date
02/02/2017
Last updated
07/20/2018
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