Individual
DENNIS EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 E VALLEY PKWY SPC 166, ESCONDIDO, CA 92027-2957
(760) 622-1091
Mailing address
2700 E VALLEY PKWY SPC 166, ESCONDIDO, CA 92027-2957
(760) 622-1091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83531
CA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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