Individual
EVONE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E CANAL DR, TURLOCK, CA 95380-3936
(209) 985-1645
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
CA
Enumeration date
07/19/2022
Last updated
07/19/2022
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