Individual
MR. JONATHAN ISAAC ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4150 CLEMENT STREET, SAN FRANCISCO, CA 94121
(415) 221-4810
Mailing address
4150 CLEMENT STREET, SAN FRANCISCO, CA 94121
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
12022
CT
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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