Individual
DAMONYEA KEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 9TH ST, SAN FRANCISCO, CA 94103-2603
(415) 777-0333
Mailing address
170 9TH ST, SAN FRANCISCO, CA 94103-2603
(415) 777-0333
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/18/2025
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