Individual
KIMBERLY SUI FAN FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1279 22ND AVE, SAN FRANCISCO, CA 94122
(415) 812-2739
Mailing address
1279 22ND AVE, SAN FRANCISCO, CA 94122-1601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
722416
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
95009060
CA
Other
Enumeration date
06/14/2017
Last updated
05/23/2018
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