Individual
JOHN SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 WAVERLY CT, SOUTH SAN FRANCISCO, CA 94080-5556
(650) 303-1860
Mailing address
11 WAVERLY CT, SOUTH SAN FRANCISCO, CA 94080-5556
(650) 303-1860
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95024275
CA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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