Individual
EVANS YONYON AZAGIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(713) 269-4242
Mailing address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
812073
NV
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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