Individual
MRS. GILLIAN L EMBLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1500
Mailing address
50 MILLAY PL, MILL VALLEY, CA 94941-1501
(415) 888-8414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
16198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA16198
—
CA
Enumeration date
06/11/2006
Last updated
02/11/2022
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