Individual
MS. KAELA KOINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Mailing address
1 MIRAMAR ST APT 1216, LA JOLLA, CA 92092-0003
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-JZADIB
CA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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