Individual
LADY MARGIE SUNICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 SMITH RANCH RD, SAN RAFAEL, CA 94903-2093
(415) 492-0818
Mailing address
291 SMITH RANCH RD, SAN RAFAEL, CA 94903-2093
(415) 492-0818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
174400000X
Specialist
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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