Individual
EMERALD SHOVAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMTC
Contact information
Practice address
1211 EMBARCADERO, OAKLAND, CA 94606-5119
(510) 328-4098
Mailing address
1030 E 21ST ST, OAKLAND, CA 94606-2628
(510) 220-8530
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
96289
CA
225700000X
Massage Therapist
Primary
96289
CA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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