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Individual

ADRIENNE RACHAEL TRUSTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1001 POTRERO AVE, BLDG 80-83, SAN FRANCISCO, CA 94110-3518
(415) 206-8610
Mailing address
1805 CHURCH ST, SAN FRANCISCO, CA 94131-2763
(336) 287-8786

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A99412
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A99412
STATE LICENSE NUMBER
CA
Enumeration date
04/13/2007
Last updated
07/08/2007
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