Individual
MR. CHARLES R COSPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT, N.C.P.T. 3
Contact information
Practice address
815 BUENA VISTA AVE W, SAN FRANCISCO, CA 94117-4108
(415) 762-3700
(415) 865-0119
Mailing address
815 BUENA VISTA AVE W, SAN FRANCISCO, CA 94117-4108
(415) 967-7058
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26317
CA
Other
Enumeration date
10/16/2008
Last updated
12/18/2024
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