Individual
AMY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 W HERNDON AVE, CLOVIS, CA 93612-0204
(559) 432-4620
(559) 324-6280
Mailing address
887 E PORTSMOUTH DR, FRESNO, CA 93720-0611
(559) 434-8861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G86426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G864260
—
CA
Enumeration date
08/29/2006
Last updated
11/06/2008
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