Individual
GENESIS JAVAHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 MISSION ST, SAN FRANCISCO, CA 94110-3104
(415) 401-2700
Mailing address
447 SUTTER ST STE 405-1245, SAN FRANCISCO, CA 94108-4601
(415) 617-5127
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015640
CA
390200000X
Student in an Organized Health Care Education/Training Program
95185269
CA
Other
Enumeration date
06/27/2019
Last updated
06/27/2024
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