Individual
KEITH JABONILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
821 IRVING ST UNIT 225336, SAN FRANCISCO, CA 94122-2396
(661) 326-9999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004613
CA
Other
Enumeration date
08/05/2016
Last updated
05/05/2020
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