Individual
GLADYS M NULPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VN211003
Contact information
Practice address
2296 COUNTRY DR, FREMONT, CA 94536-5315
(510) 608-3733
Mailing address
849 BLOSSOM WAY, HAYWARD, CA 94541-2003
(925) 245-1385
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
VN211003
CA
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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