Individual
DUSTIN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 682-3279
Mailing address
474 23RD AVE APT 4, SAN FRANCISCO, CA 94121-3032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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