Individual
MS. ELAINE C PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 5TH AVE, SAN RAFAEL, CA 94901-2959
(415) 457-6964
Mailing address
900 5TH AVE, SAN RAFAEL, CA 94901-2959
(415) 457-6964
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
08/18/2014
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