EDGAR SUNGLAO EVANGELISTA

GLENDORA, CA
NPI1447770581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006462)
Enumeration Date2017-06-20
Last Update Date2017-06-20
Business Address
EDGAR SUNGLAO EVANGELISTA NP
250 S GRAND AVE
GLENDORA, CA 91741-4218
Phone number: 626-857-3299
Mailing Address
EDGAR SUNGLAO EVANGELISTA NP
505 S SHELLMAN AVE
SAN DIMAS, CA 91773-3238
Phone number: 323-363-3842
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