Individual
EVA A HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3145
(909) 580-2165
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3145
(909) 580-2165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
679789
CA
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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