MARY MCNICHOLAS, PA

Physician Assistant

Active Individual
NPI: 1295791960

Practice Address

2100 POWELL ST
SUITE 920
Emeryville, CA 94608

Phone: (510) 350-2655

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA14376 (CA)

Frequently Asked Questions

NPI 1295791960 is the National Provider Identifier for MARY MCNICHOLAS, PA, a Physician Assistant provider located in Emeryville, CA. This NPI was enumerated on April 21, 2006.
MARY MCNICHOLAS, PA practices at 2100 POWELL ST, SUITE 920, Emeryville, CA 94608.

Quick Facts

NPI
1295791960
Type
Individual
Enumerated
Apr 21, 2006
Last Updated
Dec 16, 2008

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