Individual
MS. ANA ISABEL PLASENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-3255
Mailing address
588 MONTECILLO RD, SAN RAFAEL, CA 94903-3223
(415) 497-8432
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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