TIA EVENSON

OAKLAND, CA
NPI1972100766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95026529)
Enumeration Date2020-10-05
Last Update Date2024-07-11
Business Address
TIA EVENSON APRN
1955 BROADWAY STE A
OAKLAND, CA 94612-2205
Phone number: 888-663-6331
Mailing Address
TIA EVENSON APRN
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 94111-3723
Phone number: 415-658-6791