Colleen Marie Galvin P.A., L.AC., N.M.D.

NPI 1184821464 - Physician Assistant - 363A00000X

NPI Details
NPI 1184821464
Gender Female
Enumeration Date 06/29/2007
Last Updated 08/19/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
347 MAIN ST STE C
SEAL BEACH CA, 90740-6348, US
Phone (562) 430-2981
Fax
Business Location
234 E 17TH ST STE 210
COSTA MESA CA, 92627-3855, US
Phone (949) 715-9686
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number 12889
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According to our database, Colleen Marie Galvin P.A., L.AC., N.M.D. NPI is 1184821464, taxonomy code is 363A00000X and license number is 12889, license state is located at California. Colleen Marie Galvin P.A., L.AC., N.M.D. physically located at 347 Main St Ste C, Seal Beach CA, 90740-6348. NPI Number Colleen Marie Galvin P.A., L.AC., N.M.D. has the Individual type.

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1184821464 NPI number is provided on an as is basis without warranty of any kind. 1184821464 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Marie Galvin P.A., L.AC., N.M.D. are for informational purposes only.