Individual
EILEEN THERESE FREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN,PHN,CCM
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 719-3121
(760) 725-1515
Mailing address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 719-3121
(760) 725-1515
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
284356
CA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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