Individual
JOHN BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00880827
CA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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