Individual
MARK NORVIE ROXAS VACALARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 VAN NESS AVE, SAN FRANCISCO, CA 94109-6919
(415) 600-6000
Mailing address
2857 BUSH ST # 201, SAN FRANCISCO, CA 94115-2946
(863) 207-5547
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
740625
CA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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