Individual
DR. EDRA SPEVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., CBHT
Contact information
Practice address
919 IRVING ST, SUITE 104, SAN FRANCISCO, CA 94122-2206
(415) 742-1743
Mailing address
425 BUCHANAN STREET, SAN FRANCISCO, CA 94102-5529
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-370
CA
Other
Enumeration date
06/16/2010
Last updated
06/09/2011
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