Individual
MOLLIE SHIRA HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14 WHITMORE PL APT 15, OAKLAND, CA 94611-4635
(510) 847-2834
Mailing address
14 WHITMORE PL APT 15, OAKLAND, CA 94611-4635
(510) 847-2834
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95015097
CA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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