Individual
THEA FAND-FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080
(650) 742-2869
Mailing address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080
(650) 742-2869
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
385208
CA
Other
Enumeration date
08/23/2006
Last updated
07/11/2007
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