Individual
NA LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5815 THIRD STREET, SAN FRANCISCO, CA 94404
(415) 822-7500
(415) 822-9767
Mailing address
5815 THIRD STREET, SAN FRANCISCO, CA 94404
(415) 822-7500
(415) 822-9767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN265461
CA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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