Individual
JIMMY LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1421 BRODERICK ST, SAN FRANCISCO, CA 94115-3304
(415) 292-1760
Mailing address
1421 BRODERICK ST, SAN FRANCISCO, CA 94115-3304
(415) 292-1760
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
698824
CA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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