Individual
BENJAMIN UDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 CLAY ST, SAN FRANCISCO, CA 94115-1930
(415) 776-4647
(415) 861-0140
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/13/2016
Last updated
09/29/2021
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