Individual
CHRISTINE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH PT
Contact information
Practice address
64 MAIN ST #2 REAR, PT SAN QUENTIN, CA 94964-0345
(415) 455-9721
Mailing address
2074 HUCKLEBERRY RD, SAN RAFAEL, CA 94903-1270
(415) 455-9721
(415) 491-9735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16514
CA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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