SearchCalifornia164X00000X

Russia Evalle

NPI 1952751935 · on the registry since 2016

Practice

Address
3416 W Orange Ave Apt 218
Anaheim, CA 92804
Phone
(714) 834-2125

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California