Individual
EVELIN PATRICIA MONTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E 17TH ST, COSTA MESA, CA 92627-3831
(949) 646-4960
(949) 646-0201
Mailing address
211 E 17TH ST, COSTA MESA, CA 92627-3831
(949) 646-4960
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
28590
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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