Individual
LISA MASAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
330 ELLIS ST, C/O GLIDE HEALTH SERVICES, SAN FRANCISCO, CA 94102-2735
(415) 674-6140
Mailing address
330 ELLIS STREET, C/O GLIDE HEALTH SERVICES, SAN FRANCISCO, CA 94102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
754518
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
21039
CA
Other
Enumeration date
10/12/2011
Last updated
12/18/2012
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