Organization
COUNTY OF MARIN
Active
Other names
HHS - Whole Person Care Division
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA LALLANA (COMPLIANCE PRIVACY SECURITY OFCR)
(415) 473-2531
Entity
Organization
Contact information
Practice address
1177 FRANCISCO BLVD E, SAN RAFAEL, CA 94901-5403
(415) 473-4663
Mailing address
20 N SAN PEDRO RD, SAN RAFAEL, CA 94903-4188
(415) 473-2531
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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