Individual
AIDA BRUUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
730 POLK ST, SAN FRANCISCO, CA 94109-7813
(415) 789-7334
(415) 292-3404
Mailing address
PO BOX 21, SAN RAMON, CA 94583-0021
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95001008
CA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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