Individual
EVELYNN FLORES GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7320
(951) 955-7203
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7320
(951) 955-7203
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
276561
CA
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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