Individual
EVELYN LORRAINE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2310 CRAVEN ST BLDG 3230, SAN DIEGO, CA 92136-5596
(619) 556-8240
Mailing address
803 HALECREST DR, CHULA VISTA, CA 91910-6412
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH14550
CA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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