Individual
CLERY VILLACREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2919 MISSION ST, SAN FRANCISCO, CA 94110-3917
(415) 229-0500
(415) 647-0744
Mailing address
2919 MISSION ST, SAN FRANCISCO, CA 94110-3917
(415) 229-0500
(415) 647-0744
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CVILLACREZ
CCR
—
Enumeration date
01/07/2020
Last updated
01/07/2020
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