Linda Jean Nicholson
Community Health Worker in San Francisco, CA. Individual provider (NPI-1).
NPI number1013484476
StatusActive
Last updated in NPPESOct 24, 2018
Details
- NPI
- 1013484476
- Entity type
- Individual (NPI-1)
- Name
- Linda Jean Nicholson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2018
- Last updated
- Oct 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1625 Carroll AveSan Francisco, CA 94124-3219
Phone 415-822-8200 · Fax 415-822-6822
Mailing address
1625 Carroll AveSan Francisco, CA 94124-3219
Phone 415-822-8200 · Fax 415-822-6822
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