Wangsa, Evelyn

Wangsa, Evelyn is an individual health care provider with primary practice located at 11441 Heacock St , Moreno Valley CA 92557-7907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Wangsa, Evelyn can be contacted via phone (562) 293-8777.

Contact Information

Primary practice address
11441 Heacock St Moreno Valley CA 92557-7907
Phone: (562) 293-8777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95004913 California

Profile Details

NPI number 1407303753
LBN Legal business name Wangsa, Evelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2016
Last updated Sep 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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