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MS. SHARON ADELL EVANOFF-EASTMAN
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1689797052
Individual Registrant:MS. SHARON ADELL EVANOFF-EASTMAN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2689 SIERRA HIGHWAY BOX 1359 ROSAMOND, CA 93560 US
Tel: 661-256-7208 Fax: 661-256-7209
Tel: 661-256-7208 Fax: 661-256-7209
Contact information for business:
3105 E AVENUE H6 LANCASTER, CA 93535-1613 US
Tel: 661-618-6342 Fax: --
Tel: 661-618-6342 Fax: --
Registration Information:
NPI: 1689797052
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
