Individual
JANIE L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1020 NORTHSIDE DR, STE. E, COOL, CA 95614-9535
(530) 823-5082
(530) 823-5981
Mailing address
1020 NORTHSIDE DR, STE. E, COOL, CA 95614-9535
(530) 823-5082
(530) 823-5981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA 08075T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
943106565
TAX ID
CA
05
—
SD0080750
—
CA
Enumeration date
05/23/2006
Last updated
02/06/2008
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