KEANE EVANGELISTA

LA MESA, CA
NPI1265130728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2023-02-23
Last Update Date2023-02-23
Business Address
KEANE EVANGELISTA
5696 LAKE MURRAY BLVD
LA MESA, CA 91942-1929
Phone number: 619-460-7871
Mailing Address
KEANE EVANGELISTA
7548 CHARMANT DR APT 1411
SAN DIEGO, CA 92122-5050
Phone number:
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