Individual
ELENA VERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 CHINOOK CT, SAN FRANCISCO, CA 94130-1630
(415) 394-5247
Mailing address
570 MASTICK AVE APT 105, SAN BRUNO, CA 94066-4348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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