EVAN EDELIST

SAN RAFAEL, CA
NPI1801535851
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-05-28
Last Update Date2022-05-28
Business Address
EVAN EDELIST
114 SAN RAFAEL AVE
SAN RAFAEL, CA 94901-3645
Phone number: 415-300-5463
Mailing Address
EVAN EDELIST
PO BOX 150429
SAN RAFAEL, CA 94915-0429
Phone number: 415-300-5463
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