Organization
CANAL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WHITEDUCK (DIRECTOR)
(415) 634-0191
Entity
Organization
Contact information
Practice address
91 LARKSPUR ST, SAN RAFAEL, CA 94901-4820
(415) 454-2640
Mailing address
91 LARKSPUR ST, SAN RAFAEL, CA 94901-4820
(415) 454-2640
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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