Individual
EVELYN DATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
655 EUCLID AVE, NATIONAL CITY, CA 91950-2957
(619) 470-7000
Mailing address
2319 MAGNOLIA WAY, NATIONAL CITY, CA 91950-1974
(619) 550-8526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN624984
CA
363L00000X
Nurse Practitioner
Primary
NP95008292
CA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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