Individual
CHRISTINE DIANE STIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3260 KERNER BLVD, SAN RAFAEL, CA 94901-4861
(415) 473-2720
(415) 473-2179
Mailing address
899 NORTHGATE DR, STE100, SAN RAFAEL, CA 94903-3636
(415) 473-6891
(415) 473-6881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 270575
CA
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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