Individual
EVELYN BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
1865 HOTEL CIR S, SAN DIEGO, CA 92108-3319
(619) 673-8166
(619) 573-9333
Mailing address
3633 CONRAD AVE, SAN DIEGO, CA 92117-1806
(619) 715-6997
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-RCJFUN
CA
Other
Enumeration date
05/03/2024
Last updated
02/10/2025
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