Individual
BRENDAN CORNELIUS EGGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 POLLARD RD, LOS GATOS, CA 95032-1438
(408) 378-6131
Mailing address
2600 RAYMA CT, RENO, NV 89503-5707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP25557
CA
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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