Individual
JACKIE CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 HOWARD ST, 4TH FLOOR, SAN FRANCISCO, CA 94103-2638
(415) 255-3689
(415) 252-3033
Mailing address
1380 HOWARD STREET, 4TH FLOOR, SAN FRANCISCO, CA 94103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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