Individual
ALBERT J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-4094
Mailing address
7504 PARKWAY DR UNIT 207, LA MESA, CA 91942-1766
(843) 743-9709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/27/2017
Last updated
08/27/2017
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