Individual
PROF. ERIC FRANZ EVENHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
6113 KIRKWOOD AVE, ALTA LOMA, CA 91701-3417
(909) 980-5900
(909) 466-4203
Mailing address
10808 FOOTHILL BLVD, 160-427, RANCHO CUCAMONGA, CA 91730-3889
(909) 481-5800
(909) 481-5872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MFC-13882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC13882061907
SERVICE LOCATION
CA
Enumeration date
09/10/2007
Last updated
09/10/2007
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