Individual
MR. CHARLES PRIMICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8 BERNICE ST, UNIT 206, SAN FRANCISCO, CA 94103-4348
(415) 336-4723
Mailing address
8 BERNICE ST, UNIT 206, SAN FRANCISCO, CA 94103-4348
(415) 336-4723
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21423
CA
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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