Individual
EVANGELINE SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1566 SCOTT ST APT 69, SAN JOSE, CA 95126-3252
(408) 239-9941
Mailing address
1566 SCOTT ST APT 69, SAN JOSE, CA 95126-3252
(408) 239-9941
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 258350
CA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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