MR. Jerome Kennedy Evans JR.

NPI #1205012457 in North Hills, California

Provider Information

NPI Number
1205012457
Entity Type
Individual
Name
MR. Jerome Kennedy Evans JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Jan 18, 2008
Last Updated
Jan 18, 2008

Practice Location

Address
15305 RAYEN ST
ZIP Code
91343-5117
Phone
(818) 892-3423

Specialties & Taxonomy Codes

Specialty
Counselor

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