DOUGLAS TOM IMURA

SOUTH SAN FRANCISCO, CA
NPI1790213767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-06-02
Last Update Date2017-06-02
Business Address
DOUGLAS TOM IMURA
505 CYPRESS AVE
SOUTH SAN FRANCISCO, CA 94080-2922
Phone number: 650-380-6149
Mailing Address
DOUGLAS TOM IMURA
300 HARBOR BLVD BLDG E
BELMONT, CA 94002-4018
Phone number: 650-380-6149