Individual
ELLA BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 DE HARO ST, SAN FRANCISCO, CA 94107-2347
(415) 487-2288
Mailing address
444 DE HARO ST, SAN FRANCISCO, CA 94107-2347
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
235785
CA
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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