Individual
CEDRIC DUNN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 GRAND AVE STE 301, SOUTH SAN FRANCISCO, CA 94080-3641
(650) 244-1444
Mailing address
301 GRAND AVE STE 301, SOUTH SAN FRANCISCO, CA 94080-3641
(650) 244-1444
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410020DN
CASA AZTLAN
CA
Enumeration date
06/06/2012
Last updated
06/06/2012
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