Individual
FATAH R. EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
601 CANADA ST, OJAI, CA 93023-2530
(805) 646-7820
Mailing address
601 CANADA ST, OJAI, CA 93023-2530
(805) 646-7820
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC12163
CA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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