Individual
JUANA MAMISAY ZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3783 FAIRFAX WAY, SOUTH SAN FRANCISCO, CA 94080-5250
(650) 703-0640
Mailing address
3783 FAIRFAX WAY, SOUTH SAN FRANCISCO, CA 94080-5250
(650) 703-0640
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207845
CA
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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