Individual
JAQUAN TAYLOR NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1318 GATEVIEW AVE, SAN FRANCISCO, CA 94130
(415) 967-5334
Mailing address
691 CHINA BASIN ST APT 347, SAN FRANCISCO, CA 94158-2571
(415) 808-9995
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
01/13/2025
Last updated
01/21/2025
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