Individual
EDWARD JOSEPH FLORES VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 TREAT AVE, SAN FRANCISCO, CA 94110-5234
(415) 641-8000
(415) 641-8002
Mailing address
1045 BRUNSWICK ST, DALY CITY, CA 94014-1202
Taxonomy
Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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