Provider Demographics
NPI:1700207990
Name:MAYS, DWAN TONITA
Entity Type:Individual
Prefix:MS
First Name:DWAN
Middle Name:TONITA
Last Name:MAYS
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 1:1000 BRANNAN ST STE 401
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4888
Mailing Address - Country:US
Mailing Address - Phone:415-864-4655
Mailing Address - Fax:415-626-2398
Practice Address - Street 1:730 BAKER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-567-1498
Practice Address - Fax:415-567-1365
Is Sole Proprietor?:No
Enumeration Date:2013-12-15
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker