Organization
NLS MOBILE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQUEELAH TILLMAN WHNP/CNM (OWNER)
(510) 269-7278
Entity
Organization
Contact information
Practice address
895 VILLAGE CIR, OAKLAND, CA 94607-3188
(510) 269-7278
Mailing address
895 VILLAGE CIR, OAKLAND, CA 94607-3188
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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