Individual
KITIONA TAI CASEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(415) 255-3788
Mailing address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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