Individual
DR. NICKISA M HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVE. BLDG. 5, 4M, SAN FRANCISCO, CA 94110
(628) 206-8304
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
301302
NY
207W00000X
Ophthalmology Physician
Primary
A133980
CA
Other
Enumeration date
04/09/2013
Last updated
07/31/2024
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