Individual
COURTNEY JUNG HAE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7895 BROADWAY, LEMON GROVE, CA 91945-1803
(619) 692-0734
Mailing address
10828 CHARING CROSS RD, SPRING VALLEY, CA 91978-1208
(317) 469-8619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028318
CA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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