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Djenna Ghozali

Technician, Other in South San Francisco, CA. Individual provider (NPI-1).

NPI number1104606359
StatusActive
Last updated in NPPESJun 10, 2025

Details

NPI
1104606359
Entity type
Individual (NPI-1)
Name
Djenna Ghozali
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2023
Certification date
Jun 10, 2025
Last updated
Jun 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

1486 Huntington Ave Ste 100
South San Francisco, CA 94080-5971

Phone 415-990-8764

Mailing address

1486 Huntington Ave Ste 100
South San Francisco, CA 94080-5971

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