JERRY JOHN EDOLOVERIO

LOS ANGELES, CA
NPI1437908282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: CA  705143)
Enumeration Date2024-05-15
Last Update Date2025-06-26
Business Address
JERRY JOHN EDOLOVERIO
12021 WILMINGTON AVENUE BUILDING 18, SUITE 101
LOS ANGELES, CA 90059
Phone number: 424-454-6001
Mailing Address
JERRY JOHN EDOLOVERIO
12021 WILMINGTON AVE. BUILDING 18, SUITE 101
LOS ANGELES, CA 90059
Phone number: 424-454-6001