Individual
MRS. KELLY CHUKUNTAROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1301 PIERCE ST, SAN FRANCISCO, CA 94115-4005
(415) 292-1304
(415) 440-2364
Mailing address
1301 PIERCE ST, SAN FRANCISCO, CA 94115-4005
(415) 292-1304
(415) 440-2364
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
630841
CA
Other
Enumeration date
11/20/2007
Last updated
02/25/2010
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