Provider Demographics
NPI:1285816546
Name:SAWIRES, EVELYN NOUR (DC)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:NOUR
Last Name:SAWIRES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 VALE TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5218
Mailing Address - Country:US
Mailing Address - Phone:844-308-5003
Mailing Address - Fax:760-414-3892
Practice Address - Street 1:31361 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-7807
Practice Address - Country:US
Practice Address - Phone:844-308-5003
Practice Address - Fax:760-414-3892
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor