Individual
BRI-ANNA ELICE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 777-5300
Mailing address
1334 MONTEREY ST, RICHMOND, CA 94804-4943
(510) 815-6730
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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