Individual
MRS. SARAH JANE MCCUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
50 PHELAN AVE, HC 100, SAN FRANCISCO, CA 94112-1821
(415) 241-2229
(415) 239-3193
Mailing address
50 PHELAN AVE, HC 100, SAN FRANCISCO, CA 94112-1821
(415) 241-2229
(415) 239-3193
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
191506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191506
LICENSE
CA
Enumeration date
11/26/2007
Last updated
11/26/2007
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