Individual
MRS. HEATHER LORRAINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
830 SCENIC DR BLDG 3, MODESTO, CA 95350-6131
(209) 652-0636
(209) 558-8315
Mailing address
PO BOX 3127, MODESTO, CA 95353-3127
(209) 652-0636
(209) 558-8315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
550720
CA
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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