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 Date2024-05-15
Business Address
JERRY JOHN EDOLOVERIO
12021 WILMINGTON AVE., BLDG 18, SUITE 102
LOS ANGELES, CA 90059
Phone number: 424-454-6001
Mailing Address
JERRY JOHN EDOLOVERIO
12021 WILMINGTON AVE., BLDG 18, SUITE 102
LOS ANGELES, CA 90059
Phone number: 424-454-6001
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