Individual
LAUREL BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GROVE ST, SUITE 204, SAN FRANCISCO, CA 94102-4505
(415) 554-2818
Mailing address
101 GROVE ST, SUITE 204, SAN FRANCISCO, CA 94102-4505
(415) 554-2818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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