Individual
JEFFERSON UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT ASCP
Contact information
Practice address
547 EDINBURGH ST, SAN FRANCISCO, CA 94112-2821
(415) 312-7730
Mailing address
547 EDINBURGH ST, SAN FRANCISCO, CA 94112-2821
(415) 312-7730
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
09229
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09229
LABORATORY TECHNOLOGIST
WV
01
—
3568
ASCP
—
01
—
MTA00045207
CCLS
CA
01
—
TN46183
FLORIDA CLINICAL LABORATORY TECHNOLOGIST
FL
Enumeration date
04/18/2014
Last updated
06/05/2014
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