Individual
JACKIELYN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
273 GREEN ST, SAN FRANCISCO, CA 94133-4170
(415) 517-7429
Mailing address
273 GREEN ST, SAN FRANCISCO, CA 94133-4170
(415) 517-7429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
653975
CA
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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