Individual
MARIA SHELLANE CRISOSTOMO AYE-MAUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 BOYNTON CT, SAN FRANCISCO, CA 94114-1305
(415) 845-5571
Mailing address
2 BOYNTON CT, SAN FRANCISCO, CA 94114-1305
(415) 845-5571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18431
CA
363AM0700X
Medical Physician Assistant
Primary
010419-1
NY
Other
Enumeration date
09/07/2005
Last updated
04/19/2011
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