Individual
ANITA SUSANA HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 PARNASSUS AVE, ROOM M-987, SAN FRANCISCO, CA 94143-2204
(415) 476-1528
Mailing address
1413 5TH AVE, SAN FRANCISCO, CA 94122-3806
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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