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EVELYN BEATRIX RATTU BOAN NURSE PRACTITIONER

Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194327981

Individual Registrant:
 EVELYN BEATRIX RATTU BOAN NURSE PRACTITIONER
Gender: F
Not Sole Proprietor

Location and contact information for practice:
15031 OAKWOOD LN  CHINO HILLS, CA 91709-2627 US
Tel: 626-244-4351  Fax: --

Contact information for business:
15031 OAKWOOD LN  CHINO HILLS, CA 91709-2627 US
Tel: 626-244-4351  Fax: --

Registration Information:
NPI: 1194327981
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
CANP95014057

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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