Individual
GUIDO EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 HANNAH PARK LN, ST AUGUSTINE, FL 32095-6800
(305) 942-8753
(843) 647-1409
Mailing address
650 HANNAH PARK LN, ST AUGUSTINE, FL 32095-6800
(305) 942-8753
(843) 647-1409
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
02142013
OH
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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