Individual
ASHARDY NICOLE BAIDOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 2ND ST SUITE 102, SAN FRANCISCO, CA 94107
(844) 333-0623
Mailing address
713 PUTNAM ST, ANTIOCH, CA 94509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
725471
CA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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