CHARLIE A EVANILLA

BALDWIN PARK, CA
NPI1033286893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP811)
Enumeration Date2006-11-29
Last Update Date2008-09-23
Business Address
CHARLIE A EVANILLA NP
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
Mailing Address
CHARLIE A EVANILLA NP
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011