Individual
ILEANA BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PIERCE ST, SAN FRANCISCO, CA 94115
(415) 292-1344
Mailing address
63 GATEWAY DR, PACIFICA, CA 94044
(415) 292-1344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
467600
CA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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