Individual
HUAN MWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 DORE ST, SAN FRANCISCO, CA 94103-3828
(415) 861-0828
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95326897
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028383
CA
Other
Enumeration date
10/30/2023
Last updated
12/19/2023
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