Individual
MR. JAMMAL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Mailing address
815 ELLSWORTH ST, SAN FRANCISCO, CA 94110-6052
(415) 724-0503
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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