Individual
DIANE IGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 19TH AVE, SAN FRANCISCO, CA 94121-3804
(415) 215-4659
Mailing address
708 19TH AVE, SAN FRANCISCO, CA 94121-3804
(415) 215-4659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
351529
CA
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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