Individual
HEATHER WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(913) 272-2075
Mailing address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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