Individual
DR. ADRIENNE COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
490 ILLINOIS ST, SAN FRANCISCO, CA 94143-2510
(415) 353-2020
Mailing address
352 PINE ST, MILLBRAE, CA 94030-2019
(650) 274-3405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34858
CA
Other
Enumeration date
07/29/2021
Last updated
10/13/2022
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