Individual
JANNISE BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1327 CHESTNUT ST # 5, SAN FRANCISCO, CA 94123-3105
(415) 424-1028
Mailing address
1635 86TH AVE, OAKLAND, CA 94621-1505
(415) 424-1028
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
CA
224P00000X
Prosthetist
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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