Individual
EVONNE EHIMEOHOMON EVIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2719 PENITENCIA CREEK RD, SAN JOSE, CA 95132-2923
(408) 770-2115
Mailing address
812 S 8TH ST, SAN JOSE, CA 95112-3946
(408) 702-7325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95394830
CA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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