Individual
PROF. NICHELLE NICOLE WASHINGTON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2633 TELEGRAPH AVE STE 107, OAKLAND, CA 94612-1744
(510) 663-1200
Mailing address
2633 TELEGRAPH AVE STE 107, OAKLAND, CA 94612-1744
(510) 663-1200
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
KK359017
CA
1744P3200X
Prosthetics Case Management
Primary
KK359017
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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