Individual
CARMELITA LIPAT SUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BRODERICK ST, SAN FRANCISCO, CA 94115-3304
(415) 292-1760
Mailing address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
(415) 668-5955
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
247667
CA
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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