Individual
MISS EVANGELINE SARA WIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
733 S HERBERT AVE, TUCSON, AZ 85701-2735
(520) 262-8682
Mailing address
733 S HERBERT AVE, TUCSON, AZ 85701-2735
(520) 262-8682
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN165910
AZ
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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