Individual
JUSTIN THOMAS LONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 OCEAN AVE, SAN FRANCISCO, CA 94112-1727
(415) 452-2200
Mailing address
1701 OCEAN AVE, SAN FRANCISCO, CA 94112-1727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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