Individual
NICOLE JIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 POTRERO AVE. BLDG. 5, #4M, SAN FRANCISCO, CA 94110
(628) 206-5476
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1014504
MA
207Y00000X
Otolaryngology Physician
Primary
A160753
CA
Other
Enumeration date
02/06/2014
Last updated
11/27/2024
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