Individual
MS. EVANGILYN ASHFORD PASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
Mailing address
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704-3238
(510) 981-5290
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95199682
CA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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