Individual
ESTIFANOS WELDESELASIE TSEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 HOWARD ST FL 3, SAN FRANCISCO, CA 94103-2650
(415) 255-3544
(415) 255-3564
Mailing address
1380 HOWARD ST FL 3, SAN FRANCISCO, CA 94103-2650
(415) 255-3544
(415) 255-3564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5331
SFGH INTERNAL USE ONLY
—
Enumeration date
06/08/2007
Last updated
07/16/2007
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