Individual
JULIA NYQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 SANTA CLARA AVE, REAR COTTAGE, ALAMEDA, CA 94501-3225
(141) 561-3507
Mailing address
311 SANTA CLARA AVE, REAR COTTAGE, ALAMEDA, CA 94501-3225
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G79638
CA
Other
Enumeration date
12/27/2005
Last updated
11/08/2011
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