Individual
NICOLE KJOLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
SAMUEL MERRITT COLLEGE, 370 HAWTHORNE AVE, OAKLAND, CA 94609
(510) 869-6511
Mailing address
254 DIVISADERO ST APT 1, SAN FRANCISCO, CA 94117-3256
(650) 773-7793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95062609
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001729
CA
Other
Enumeration date
08/09/2019
Last updated
05/19/2023
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