Organization
PATTI BORO, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BORO M.S. (LICENSED MARRIAGE FAMILY THERAPIST)
(415) 789-7657
Entity
Organization
Contact information
Practice address
1000 5TH AVE, SUITE #3, SAN RAFAEL, CA 94901-6104
(415) 789-7657
Mailing address
1000 5TH AVE, SUITE #3, SAN RAFAEL, CA 94901-6104
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MFC41722
CA
305R00000X
Preferred Provider Organization
MFC41722
CA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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