VAN DAVID PORTLOCK

SAN FRANCISCO, CA
NPI1114153012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2009-06-05
Last Update Date2022-08-25
Business Address
VAN DAVID PORTLOCK
730 EDDY ST ROOM 204
SAN FRANCISCO, CA 94109-7846
Phone number: 415-353-5655
Mailing Address
VAN DAVID PORTLOCK
730 EDDY ST ROOM 204
SAN FRANCISCO, CA 94109-7846
Phone number: 415-353-5655
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