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Individual

DR. EMMANUELLE L. WAUBANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
350 PARNASSUS AVE # 908, SAN FRANCISCO, CA 94143-0001
(415) 514-1684
(415) 514-2443
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A85429
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A854290
CA
Enumeration date
07/18/2006
Last updated
07/09/2007
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