Individual
CASSANDRA MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 730-7511
Mailing address
2929 LINCOLN WAY, SAN FRANCISCO, CA 94122-1416
(415) 730-7511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13546455
KAISER PERMANENTE
CA
Enumeration date
07/20/2015
Last updated
07/20/2015
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