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EVANGELINE EVANGELISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, PHN

Contact information

Practice address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4201
Mailing address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4201

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95096945
CA

Other

Enumeration date
05/18/2018
Last updated
05/18/2018
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