Wallace, Evelyn

Wallace, Evelyn is an sole proprietor health care provider with primary practice located at 2204 E Deborah Ln , Orange CA 92869-4620. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Wallace, Evelyn can be contacted via phone (714) 336-3712.

Contact Information

Primary practice address
2204 E Deborah Ln Orange CA 92869-4620
Phone: (714) 336-3712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 300613124 California

Profile Details

NPI number 1063085116
LBN Legal business name Wallace, Evelyn
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2021
Last updated Jul 16th, 2021 - about 3 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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