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Evelyn Wangsa
Primary Care Nurse Practitioner in Moreno Valley, California
NPI 1407303753

Evelyn Wangsa is a Primary Care Nurse Practitioner based in Temple City, CA and is specialized in Primary Care. Evelyn Wangsa practices in Moreno Valley, CA. The NPI Number for Evelyn Wangsa is 1407303753 and holds a License No. 95004913 (California).

The current practice location address for Evelyn Wangsa is 11441 Heacock St, Moreno Valley, CA and can be reached out via phone at 562-293-8777.

Location: 11441 Heacock St, Moreno Valley, CA, 91780-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407303753
Provider Name
Evelyn Wangsa
Credential
Provider Entity Type
Individual
Gender
Female
Address
11441 Heacock St, Moreno Valley, CA, 91780-4221
Phone Number
562-293-8777
Fax Number
Provider Enumeration Date
09/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11441 Heacock St
City
Moreno Valley
State
California
Zip
92557-7907
Phone Number
562-293-8777
Fax Number
person
Provider Business Mailing Address Details
Address
11441 Heacock St
City
Moreno Valley
State
California
Zip
92557-7907
Phone Number
562-293-8777
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95004913 (California)
Definition
Definition to come...
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