Individual
MILLICENT ANN ISHIMARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 6TH AVE, SAN FRANCISCO, CA 94118-3010
(415) 833-4415
Mailing address
30 LINARES AVE, SAN FRANCISCO, CA 94116-1441
(415) 786-6455
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
7020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7020
RCP
CA
Enumeration date
12/11/2018
Last updated
01/03/2022
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