Individual
ANGEL TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 BRYANT ST, SAN FRANCISCO, CA 94110-2833
(415) 624-3143
Mailing address
2261 BRYANT ST, SAN FRANCISCO, CA 94110-2833
(415) 624-3143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1310590618
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/05/2018
Last updated
04/11/2019
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