Individual
YULIYA KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 24TH AVE, SAN FRANCISCO, CA 94122-1616
(415) 682-1957
Mailing address
315 KIRKHAM ST APT 2, SAN FRANCISCO, CA 94122-3752
(415) 308-4507
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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