EDWARD NATHAN SUPRENANT

SAN FRANCISCO, CA
NPI1205688470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
EDWARD NATHAN SUPRENANT
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
Mailing Address
EDWARD NATHAN SUPRENANT
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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