Individual
MR. KEVIN EDMONDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Mailing address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KFVPGH
CA
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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