Individual
ELEANOR IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 MCMILLAN AVE, SUITE 240, SAN LUIS OBISPO, CA 93401-6771
(805) 439-4890
Mailing address
2945 MCMILLAN AVE, SUITE 240, SAN LUIS OBISPO, CA 93401
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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