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Individual

EVELYNE NDERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2506 W DUNLAP AVE APT 338, PHOENIX, AZ 85021-2862
(602) 907-2488
Mailing address
2506 W DUNLAP AVE APT 338, PHOENIX, AZ 85021-2862
(602) 907-2488

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1234
AZ
Enumeration date
12/16/2020
Last updated
12/16/2020
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