Individual
FLORENCE C. IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15525 ELK MOUNTAIN ROAD, UPPER LAKE, CA 95485
(707) 275-0903
Mailing address
P.O. BOX 204, 15525 ELK MOUNTAIN ROAD, UPPER LAKE, CA 95485
(707) 275-0903
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G11335
CA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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