Individual
AMBROSE OWIE OBASOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6221 GEARY BLVD FL 2, SAN FRANCISCO, CA 94121-1834
(415) 386-6600
(415) 751-3226
Mailing address
1220 KENTWOOD LN APT 801, SAN LEANDRO, CA 94578-2368
(510) 904-2934
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
08/02/2023
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