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Individual

CARLY MATSUKUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6301 3RD ST, SAN FRANCISCO, CA 94124-3501
(415) 339-8813
Mailing address
6301 3RD STREET, SAN FRANCISCO, CA 94124
(415) 339-8813

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95296515
CA
363LF0000X
Family Nurse Practitioner
Primary
95031017
CA

Other

Enumeration date
06/17/2024
Last updated
11/08/2024
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