Individual
SEAN ANTHONY EVERAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26001 REDLANDS BLVD, REDLANDS, CA 92373-7762
(909) 825-7084
Mailing address
14213 DRESSAGE RD, VICTORVILLE, CA 92394-7605
(425) 595-0302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76641
CA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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