Individual
ANNA DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
100 VAN NESS AVE APT 1515, SAN FRANCISCO, CA 94102-5222
(707) 334-2925
Mailing address
100 VAN NESS AVE APT 1515, SAN FRANCISCO, CA 94102-5222
(707) 334-2925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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