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Individual

AYUMI IMAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1150 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
(650) 299-2000
Mailing address
55 BAY CT, SOUTH SAN FRANCISCO, CA 94080-3464
(650) 952-6642

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
21102
CA
367A00000X
Advanced Practice Midwife
Primary
1954
CA

Other

Enumeration date
07/30/2012
Last updated
01/03/2022
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