Individual
JOHNAH GALICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 5TH ST STE 2F, SAN FRANCISCO, CA 94103-2919
(415) 929-6524
Mailing address
60 CRESTWOOD DR APT 1, DALY CITY, CA 94015-3277
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
SP 272
CA
Other
Enumeration date
11/03/2014
Last updated
10/06/2016
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