Individual
EDREE VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(832) 818-1487
Mailing address
136 MAJESTIC AVE, SAN FRANCISCO, CA 94112-3022
(832) 818-1487
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
95237747
CA
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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