Individual
EMILY ELYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
684 ELLIS ST, SAN FRANCISCO, CA 94109-8090
(415) 852-5300
Mailing address
20 JONES ST STE 200, SAN FRANCISCO, CA 94102-3987
(415) 852-5388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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