Healthcare Provider Details

I. General information

NPI: 1245530211
Provider Name (Legal Business Name): MS. ELIZABETH M REES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 04/23/2020
Certification Date: 04/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 40TH AVE
SAN FRANCISCO CA
94121-3317
US

IV. Provider business mailing address

826 40TH AVE
SAN FRANCISCO CA
94121-3317
US

V. Phone/Fax

Practice location:
  • Phone: 415-518-0335
  • Fax:
Mailing address:
  • Phone: 415-518-0335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-163886
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: