Individual
DODIE CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8412
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8412
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
824826
CA
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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