Individual
MR. ADAM SANFORD UDLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1380 HOWARD ST, 2ND FLOOR, SAN FRANCISCO, CA 94103-2638
(415) 255-3496
Mailing address
555 10TH ST APT 207, OAKLAND, CA 94607-4050
(415) 255-3774
(415) 255-3496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694475
CA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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