Individual
EVELYN GUADALUPE MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
(626) 844-3034
Mailing address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
(626) 844-3034
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
684147
CA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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