Individual
KETKESONE SIHARATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 POLK ST, SAN FRANCISCO, CA 94102-3333
(628) 217-6400
Mailing address
555 POLK ST, SAN FRANCISCO, CA 94102-3333
(628) 217-6400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
06/11/2025
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