Provider Demographics
NPI:1437676442
Name:JAMIR, EUFROCINA
Entity Type:Individual
Prefix:
First Name:EUFROCINA
Middle Name:
Last Name:JAMIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15141
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-0141
Mailing Address - Country:US
Mailing Address - Phone:949-690-1114
Mailing Address - Fax:
Practice Address - Street 1:1735 STEINER ST APT 155
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-5209
Practice Address - Country:US
Practice Address - Phone:949-690-1114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty