Most Relevant Information
Provider Data
| NPI Number: | 1003062746 |
| Provider Name: | EVELINA JAIME LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCS13639 |
Most Important Dates
| Enumeration Date: | 08/13/2008 |
| Last Updated: | 08/13/2008 |
Provider Practice Location
286 EUCLID AVE
SUITE 102
SAN DIEGO
CA
921143610
Practice Location Phone/Fax
| Phone: | 6192662111 |
| Fax: | 6192660496 |
Provider Mailing Location
286 EUCLID AVE
SUITE 102
SAN DIEGO
CA
921143610
Provider Mailing Phone/Fax
| Phone: | 6192662111 |
| Fax: | 6192660496 |