Individual
KIM EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LE, MA
Contact information
Practice address
101 GREGORY LN STE 25, PLEASANT HILL, CA 94523-4915
(925) 639-1629
Mailing address
PO BOX 4403, WALNUT CREEK, CA 94596-0403
(925) 639-1629
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
43135
CA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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