JONATHAN EDWARD PANUELOS EVIDENTE

ORANGE, CA
NPI1447849104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95285762)
Enumeration Date2021-01-15
Last Update Date2023-12-12
Business Address
JONATHAN EDWARD PANUELOS EVIDENTE
265 S ANITA DR STE 102-104
ORANGE, CA 92868-3355
Phone number: 310-945-3350
Mailing Address
JONATHAN EDWARD PANUELOS EVIDENTE
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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