Individual
EILEAH HALLISY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
995 POTRERO AVE, SAN FRANCISCO, CA 94110-2859
(628) 206-8412
Mailing address
322 E MOLTKE ST, DALY CITY, CA 94014-2120
(650) 438-2171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95115081
CA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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