JEVANGELINE CO-VIVO

LONG BEACH, CA
NPI1134827868
Former NameJEVANGELINE CO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95024255)
Enumeration Date2023-02-22
Last Update Date2023-02-22
Business Address
JEVANGELINE CO-VIVO
233 E WILLOW ST
LONG BEACH, CA 90806-2623
Phone number: 562-989-9868
Mailing Address
JEVANGELINE CO-VIVO
233 E WILLOW ST
LONG BEACH, CA 90806-2623
Phone number:
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