Individual
IFUNANYA JOY EZIMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVE # 6B, SAN FRANCISCO, CA 94110-3518
(415) 206-8000
Mailing address
1001 POTRERO AVE # 6B, SAN FRANCISCO, CA 94110-3518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/19/2021
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