Individual
MS. JOAN ANNIE FALLEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134342140
—
VA
Enumeration date
04/10/2007
Last updated
09/07/2016
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