EVANGELINE VISTE

SAN DIEGO, CA
NPI1164848933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  23592)
Enumeration Date2014-03-17
Last Update Date2017-04-10
Business Address
-- EVANGELINE VISTE
7035 CONVOY CT
SAN DIEGO, CA 92111-1016
Phone number: 858-573-0090
Mailing Address
-- EVANGELINE VISTE
24661 LA CRESTA DR APT 8
DANA POINT, CA 92629-2557
Phone number:
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