Individual
FERRELL ANTHONY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
982 MISSION ST, SAN FRANCISCO, CA 94103-2911
(415) 597-8054
Mailing address
162 LOWER TER, SAN FRANCISCO, CA 94114-1443
(415) 864-1468
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 206430
CA
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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