Individual
MR. EVAN HERVE QUADJOVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3460 ZION PL, CONCORD, CA 94518-2212
(510) 847-1485
Mailing address
3460 ZION PL, CONCORD, CA 94518-2212
(510) 847-1485
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95013858
CA
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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