JACK PENNELL FISH

SAN FRANCISCO, CA
NPI1417753963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2025-02-24
Last Update Date2025-08-15
Business Address
JACK PENNELL FISH
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
Mailing Address
JACK PENNELL FISH
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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