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Georgina Eagleton

Community Health Worker in Stockton, CA. Individual provider (NPI-1).

NPI number1982240131
StatusActive
Last updated in NPPESDec 14, 2023

Details

NPI
1982240131
Entity type
Individual (NPI-1)
Name
Georgina Eagleton
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 22, 2019
Certification date
Dec 14, 2023
Last updated
Dec 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4545 Georgetown Pl Ste A3
Stockton, CA 95207-6228

Phone 209-955-1139

Mailing address

1212 N California St
Stockton, CA 95202-1552

Phone 209-468-9370

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