Individual
CHARLOT T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DANIEL BURNHAM CT, SAN FRANCISCO, CA 94109-5455
(415) 409-7364
Mailing address
1 DANIEL BURNHAM CT, SAN FRANCISCO, CA 94109-5455
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
2022043467
CA
Other
Enumeration date
09/30/2022
Last updated
11/29/2022
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