Individual
AWNA JONAE EVICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 N SANTA FE ST, VISALIA, CA 93292-5065
(559) 684-8703
Mailing address
1920 N BURL DR, HANFORD, CA 93230-2105
(559) 572-7133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95159877
CA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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