Evans, Dominique

Evans, Dominique is an sole proprietor health care provider with primary practice located at 1517 W Garvey Ave N , West Covina CA 91790-2138. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Evans, Dominique can be contacted via phone (626) 962-6061.

Contact Information

Primary practice address
1517 W Garvey Ave N West Covina CA 91790-2138
Phone: (626) 962-6061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1396055653
LBN Legal business name Evans, Dominique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2010
Last updated Oct 20th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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