Individual
AMANDA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20111 CEDAR RD NORTH, SONOR, CA 95370
(209) 533-7401
Mailing address
20111 CEDAR RD N, SONORA, CA 95370-5939
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95046288
CA
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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