Individual
ALIYAH NANDI NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3282 ADELINE ST, BERKELEY, CA 94703-2439
(510) 981-5290
Mailing address
3531 WALL AVE, RICHMOND, CA 94804-3247
(510) 375-5251
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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