Organization
SANDRA E. EGINTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA ESMERALDA EGINTON (TARGETED CASE MANAGER)
(951) 403-1127
Entity
Organization
Contact information
Practice address
2005 S.W. PROVICENCE PLACE, PORT SAINT LUCIE, FL 34953-0458
(951) 403-1127
Mailing address
2005 S.W. PROVICENCE PLACE, PORT SAINT LUCIE, FL 34953-0458
(951) 403-1127
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
FL
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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