Individual
DANIELLE LEJON THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 HOWARD ST, SAN FRANCISCO, CA 94103-2822
(415) 487-2140
(415) 487-2142
Mailing address
1049 HOWARD ST, SAN FRANCISCO, CA 94103-2822
(415) 487-2140
(415) 487-2142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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