Individual provider · NPI-1

Corynn Evans

Community Health Worker · Loma Linda, CA

NPI number1003712738
StatusActive
Last updated in NPPESOct 19, 2026

Details

NPI
1003712738
Entity type
Individual (NPI-1)
Name
Corynn Evans
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2026
Certification date
Oct 19, 2026
Last updated
Oct 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

11374 Mountain View Ave Ste A
Loma Linda, CA 92354-3816

Phone 909-558-6715

Mailing address

11374 Mountain View Ave Ste A
Loma Linda, CA 92354-3816

Phone 909-558-6715

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