Individual
GLORIA SUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVENUE, BUILDING 5, #3M, SAN FRANCISCO, CA 94110-3518
(628) 206-8814
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A137626
CA
Other
Enumeration date
04/21/2014
Last updated
12/02/2022
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