Matezsaneil Michael
Student in an Organized Health Care Education/Training Program in San Francisco, CA. Individual provider (NPI-1).
NPI number1902645708
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1902645708
- Entity type
- Individual (NPI-1)
- Name
- Matezsaneil Michael
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2024
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3450 3rd StSan Francisco, CA 94124-1443
Phone 415-437-3990
Mailing address
3450 3rd StSan Francisco, CA 94124-1443
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