Individual
SYREETA WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VINCENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 682-3140
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 314-6625
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
03/03/2026
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