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ERIC CUARTO EVANGELISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1007 E FREELAND ST, LONG BEACH, CA 90807-1652
(562) 394-3347
Mailing address
10400 RANCHO RD, ADELANTO, CA 92301-2237
(760) 561-6100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52190
CA

Other

Enumeration date
12/05/2014
Last updated
01/12/2016
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