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Individual

STAR BLANCA ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 VALENCIA ST, SAN FRANCISCO, CA 94103-3547
(628) 217-6759
Mailing address
220 TRINITY RD, BRISBANE, CA 94005-1316
(650) 307-0971

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
9513991
CA

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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