Individual
DR. GERDENIO MEDARD MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 GOLDEN GATE AVE FL 2, SAN FRANCISCO, CA 94102-3810
(415) 241-8320
(415) 440-7776
Mailing address
2600 TURK BLVD, SAN FRANCISCO, CA 94118-4347
(408) 476-6874
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9837
CA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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