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Individual

JUANITA BUITRAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 PAGE ST, SAN FRANCISCO, CA 94102-5811
(415) 553-3252
(415) 553-8311
Mailing address
775 SWEENY ST, SAN FRANCISCO, CA 94134-1015

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
147359
CA

Other

Enumeration date
08/16/2010
Last updated
08/17/2010
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