Individual
EDDIE DONNELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 725-0656
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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