MISS MAE CUSACK

Community Health Worker

Active Individual
NPI: 1992396188

Practice Address

673 SAN JOSE AVE
San Francisco, CA 94110

Phone: (415) 282-3769

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry 2084B0040X No 2080P0008X (CA)
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1992396188 is the National Provider Identifier for MISS MAE CUSACK, a Community Health Worker provider located in San Francisco, CA. This NPI was enumerated on January 29, 2021.
MISS MAE CUSACK practices at 673 SAN JOSE AVE, San Francisco, CA 94110.

Quick Facts

NPI
1992396188
Type
Individual
Enumerated
Jan 29, 2021
Last Updated
Sep 21, 2022

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