Individual
MR. KEN WEISBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3626 BALBOA ST, SAN FRANCISCO, SAN FRANCISCO, CA 94121-2604
(415) 668-5955
Mailing address
3626 BALBOA ST, SAN FRANCISCO, SAN FRANCISCO, CA 94121-2604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
04/20/2017
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