Individual
MS. ANNELYS ROQUE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-5389
Mailing address
513 PARNASSUS AVENUE, S-380, SAN FRANCISCO, CA 94143-2943
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
88672
GA
207RI0200X
Infectious Disease Physician
A145135
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
11/14/2024
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