PHILLIP R EVANS

SAN DIEGO, CA
NPI1750087961
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-01-31
Last Update Date2023-01-31
Business Address
PHILLIP R EVANS
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-6266
Mailing Address
PHILLIP R EVANS
2729 WASP WAY
SAN DIEGO, CA 92106-6468
Phone number:
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