MICAH LEE EVANS

STOCKTON, CA
NPI1275707796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-04-15
Last Update Date2008-04-15
Business Address
MR. MICAH LEE EVANS N/A
1610 E MAIN ST
STOCKTON, CA 95205-5521
Phone number: 209-943-0353
Mailing Address
MR. MICAH LEE EVANS N/A
3113 TOGNINALI LN
STOCKTON, CA 95206-6029
Phone number: 209-933-9010
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