Most Relevant Information
Provider Data
NPI Number: | 1003454406 |
Provider Name: | LOUIE RESNICK |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 12/16/2019 |
Last Updated: | 12/16/2019 |
Provider Practice Location
982 MISSION ST
SAN FRANCISCO
CA
941032911
Practice Location Phone/Fax
Phone: | 4155974640 |
Fax: |
Provider Mailing Location
982 MISSION ST
SAN FRANCISCO
CA
941032911
Provider Mailing Phone/Fax
Phone: | |
Fax: |