Individual
NONAME PUBUZHUOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 22ND ST,BLDG 90, 4TH FLOOR, TB CLINIC, SAN FRANCISCO, CA 94110
(415) 206-3288
(415) 206-4565
Mailing address
2460 22ND ST,BLDG 90, 4TH FLOOR, TB CLINIC, SAN FRANCISCO, CA 94110
(415) 206-3288
(415) 206-4565
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT30943
CA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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