Evans, Marilyn A.

Evans, Marilyn A. is an individual health care provider with primary practice located at 2620 Industry Way , Lynwood CA 90262-4024. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Evans, Marilyn A. can be contacted via phone (310) 631-8004.

Contact Information

Primary practice address
2620 Industry Way Lynwood CA 90262-4024
Phone: (310) 631-8004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1225368459
LBN Legal business name Evans, Marilyn A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2010
Last updated Jun 17th, 2013 - about 13 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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