Provider Demographics
NPI:1710173919
Name:SESSION, LATREASE MONEK
Entity Type:Individual
Prefix:
First Name:LATREASE
Middle Name:MONEK
Last Name:SESSION
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 1:484 OAK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5610
Mailing Address - Country:US
Mailing Address - Phone:415-626-5199
Mailing Address - Fax:415-626-2645
Practice Address - Street 1:484 OAK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5610
Practice Address - Country:US
Practice Address - Phone:415-626-5199
Practice Address - Fax:415-626-2645
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program