Individual
JERONIMO ABALOS EVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(714) 264-7054
Mailing address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(714) 264-7054
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN224280
CA
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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