Individual
THEODORA M. MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 750-0091
Mailing address
PO BOX 942895, SACRAMENTO, CA 94295-0001
(916) 653-0080
(916) 653-1795
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G54795
CA
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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