EDIL EVANGELISTA

LAKE ELSINORE, CA
NPI1184272759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95012122)
Enumeration Date2019-08-28
Last Update Date2019-10-01
Business Address
EDIL EVANGELISTA MSN RN PHN FNPC CCRN
425 DIAMOND DR STE 105
LAKE ELSINORE, CA 92530-4495
Phone number: 951-674-8779
Mailing Address
EDIL EVANGELISTA MSN RN PHN FNPC CCRN
27649 PEPPERGRASS CT
MURRIETA, CA 92562-2806
Phone number: 714-345-7739
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