Provider Demographics
NPI:1043811706
Name:FLORIAN, EVELYN JOHANA
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:JOHANA
Last Name:FLORIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 W TAPPS HWY E APT 102
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-6928
Mailing Address - Country:US
Mailing Address - Phone:206-883-0181
Mailing Address - Fax:
Practice Address - Street 1:7001 W TAPPS HWY E APT 102
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-6928
Practice Address - Country:US
Practice Address - Phone:206-883-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter