Provider Demographics
NPI:1740414077
Name:JARIN, REGINA
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:
Last Name:JARIN
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 1:2 BON AIR RD STE 130
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1142
Mailing Address - Country:US
Mailing Address - Phone:415-924-2454
Mailing Address - Fax:415-924-1015
Practice Address - Street 1:2 BON AIR RD STE 130
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1142
Practice Address - Country:US
Practice Address - Phone:415-924-2454
Practice Address - Fax:415-924-1015
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist