Individual
JENNIFER ANNIKA MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1111 MARKET ST, SAN FRANCISCO, CA 94103-1589
(415) 863-3883
Mailing address
17069 VIA DEL REY, SAN LORENZO, CA 94580-2730
(510) 704-3733
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
709500
CA
164X00000X
Licensed Vocational Nurse
Primary
709500
CA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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