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Individual

DR. DAVID RAY HANNAFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
750 LAS GALLINAS AVE STE 102, SAN RAFAEL, CA 94903-3431
Mailing address
750 LAS GALLINAS #102, SAN RAFAEL, CA 94903

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
E3272
CA

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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