Individual
IRIS RENE CORNELIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 HOWARD ST, SAN FRANCISCO, CA 94103-2822
(510) 223-1435
Mailing address
1049 HOWARD ST, SAN FRANCISCO, CA 94103-2822
(510) 223-1435
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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