Individual
ILDJER SECRETARIA BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1575 7TH AVE, SAN FRANCISCO, CA 94122-3704
(415) 566-1200
Mailing address
370 FOREST VIEW DR, SOUTH SAN FRANCISCO, CA 94080-1357
(650) 455-0744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8703
CA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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