Individual
DR. JOSHUA NICLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 346-1365
(510) 346-7515
Mailing address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 346-1365
(510) 346-7515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A066972
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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