Individual
GEORGINA EAGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 GEORGETOWN PL STE A3, STOCKTON, CA 95207-6228
(209) 955-1139
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-9370
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
12/14/2023
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