Provider Demographics
NPI:1639675317
Name:MCGIRR, EILEEN MICHELLE
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:MICHELLE
Last Name:MCGIRR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 ESTES ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-7515
Mailing Address - Country:US
Mailing Address - Phone:619-631-0441
Mailing Address - Fax:
Practice Address - Street 1:1420 CUYAMACA AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-4613
Practice Address - Country:US
Practice Address - Phone:619-315-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist