Most Relevant Information
Provider Data
| NPI Number: | 1003387085 |
| Provider Name: | MARSHA JOSEPHINE WAINWRIGHT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 15540 |
Most Important Dates
| Enumeration Date: | 12/17/2018 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
3626 BALBOA ST
SAN FRANCISCO
CA
941212604
Practice Location Phone/Fax
| Phone: | 4156685955 |
| Fax: |
Provider Mailing Location
3204 LAGUNITA CIR
FAIRFIELD
CA
945337788
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |