JUSTIN AXL GOZO BASCUG

SAN FRANCISCO, CA
NPI1720862832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-08-21
Last Update Date2025-08-20
Business Address
JUSTIN AXL GOZO BASCUG
50 SHRADER ST
SAN FRANCISCO, CA 94117-1015
Phone number: 415-861-0828
Mailing Address
JUSTIN AXL GOZO BASCUG
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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