Individual
MS. ANTOINETTE M FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 18TH ST, SAN FRANCISCO, CA 94110-2109
(415) 546-6756
(415) 546-6778
Mailing address
340 HAMILTON ST, APT 3, SAN FRANCISCO, CA 94134-1463
(415) 374-3135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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