Individual
EVELYN AMBION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7016 RAWLEY WAY, ELK GROVE, CA 95757-4039
(916) 709-4105
Mailing address
7016 RAWLEY WAY, ELK GROVE, CA 95757-4039
(916) 709-4105
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN144222
CA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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