Individual
LATONYA MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 WOODSIDE AVE, SAN FRANCISCO, CA 94127-1221
(415) 753-7811
Mailing address
1019 PIERCE ST, FAIRFIELD, CA 94533-4660
(707) 280-9616
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
697095
CA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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