Individual
JERI LEE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
136 N HACIENDA AVE, GLENDORA, CA 91741-3966
(626) 808-1793
Mailing address
136 N HACIENDA AVE, GLENDORA, CA 91741-3966
(626) 808-1793
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
CA
133N00000X
Nutritionist
Primary
—
CA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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