Individual
MS. DEBORAH IRENE SCULLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA,BSN
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 750-2069
Mailing address
866 OLD QUARRY RD S, LARKSPUR, CA 94939-2218
(415) 531-6879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
407480
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1052
CA
Other
Enumeration date
09/25/2006
Last updated
12/03/2014
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