Individual
EVELYN R MUOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
866 24TH ST, SAN DIEGO, CA 92102-2004
(619) 985-0162
Mailing address
866 24TH ST, SAN DIEGO, CA 92102-2004
(619) 985-0162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95269046
CA
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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