Individual
NICOLE A YLAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 695-3256
Mailing address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 695-3256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
05/28/2025
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