Individual
TIFFANY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 FOLSOM ST, SAN FRANCISCO, CA 94107-1243
(415) 813-2204
Mailing address
28 RESTANI WAY, SAN FRANCISCO, CA 94112-3342
(415) 971-4560
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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