Individual
LOUISE JACKSON BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
245 11TH ST, SAN FRANCISCO, CA 94103-3732
(415) 355-0311
Mailing address
1850 15TH ST, SAN FRANCISCO, CA 94103-2217
(215) 939-8153
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
694801
CA
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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