Most Relevant Information
Provider Data
| NPI Number: | 1003350042 |
| Provider Name: | LASHONDA RENEA EAGELS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 97406 |
Most Important Dates
| Enumeration Date: | 12/09/2016 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
710 LAWRENCE EXPY
SANTA CLARA
CA
950515173
Practice Location Phone/Fax
| Phone: | 4088511000 |
| Fax: |
Provider Mailing Location
PO BOX 720923
SAN JOSE
CA
951720923
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |