Individual
EVAN PACLEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4875 COLE ST UNIT 50, SAN DIEGO, CA 92117-1864
(678) 763-2684
Mailing address
4875 COLE ST UNIT 50, SAN DIEGO, CA 92117-1864
(678) 763-2684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032083
CA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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