Individual
EBONY HOLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 MARINER DR UNIT C, SAN FRANCISCO, CA 94130-1210
(415) 632-2070
Mailing address
1563 MISSION ST FL 3, SAN FRANCISCO, CA 94103-2592
(415) 762-3700
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
11/14/2023
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