| NPI | 1275387532 |
|---|---|
| Doing Business As | PERSONAL PRACTITIONERS |
| Entity Type | Organization |
| Authorized Contact | REBECCA BLAKESLEY Pmhnp 415-605-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |