Organization
IMMUNE ENHANCEMENT PROJECT
Active
Organization
IMMUNE ENHANCEMENT PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NISHANGA E. BLISS L.A. (CLINICAL DIRECTOR)
(415) 252-8711
Entity
Organization
Contact information
Practice address
3450 16TH ST, SAN FRANCISCO, CA 94114
(415) 252-8711
(415) 252-8710
Mailing address
3450 16TH ST, SAN FRANCISCO, CA 94114
(415) 252-8711
(415) 252-8710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7355
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/02/2007
Last updated
08/11/2008
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