Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE SISON (OOQ)
(415) 221-4810
Entity
Organization
Contact information
Practice address
7 LAVENHAM RD, NOVATO, CA 94949-6296
(415) 218-1435
Mailing address
7 LAVENHAM ROAD, NOVATO, CA 94949
(415) 218-1435
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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