Individual
MS. JUDITH P DADDIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3700 CALIFORNIA ST, CHILD DEVELOPMENT CENTER, 1ST FLOOR, SAN FRANCISCO, CA 94118-1618
(415) 600-0830
Mailing address
863 VERMONT ST, SAN FRANCISCO, CA 94107-2614
(415) 550-6860
(415) 229-4782
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
171771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP0053980
MEDICAL
CA
Enumeration date
04/11/2006
Last updated
07/08/2007
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