MACKENZIE RICK EVANS

LODI, CA
NPI1477151843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-10-16
Last Update Date2020-10-26
Business Address
Mr. MACKENZIE RICK EVANS
541 S HAM LN
LODI, CA 95242-3530
Phone number: 209-747-7147
Mailing Address
Mr. MACKENZIE RICK EVANS
541 S HAM LN STE A&B
LODI, CA 95242-3530
Phone number:
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