Individual
EDGARDO ESTARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 PAGE ST FL 2, SAN FRANCISCO, CA 94102-5811
(415) 552-3252
Mailing address
35 CORONA ST, SAN FRANCISCO, CA 94127-2805
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211691
CA
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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