Individual
JESSE LEE FOSHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1866 B ST STE 101, HAYWARD, CA 94541-3184
(510) 247-8200
Mailing address
53 SURREY ST, SAN FRANCISCO, CA 94131-3006
(415) 424-6758
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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