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Individual

MR. STAYSON THOMAS VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0257
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
172V00000X
Community Health Worker
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95231533
CA

Other

Enumeration date
07/31/2011
Last updated
11/09/2023
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