Individual
FORREST DALE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4190 FRUITA CT, SACRAMENTO, CA 95838-2517
(916) 519-1370
(916) 473-1925
Mailing address
4190 FRUITA CT, SACRAMENTO, CA 95838-2517
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1010932
CA
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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