| Doctor Name: | JULIA NYQUIST |
| NPI Number: | 1205813771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | G79638 |
| Business Practice Address: | 311 Santa Clara Ave Rear Cottage Alameda, CA - 945013225 |
| Business Phone Number: | 1415613507 |
| Business Fax Number: | |
| Mailing Address: | 311 Santa Clara Ave, Rear Cottage ALAMEDA |
| State: | CA |
| Postal Code: | 945013225 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 11/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G79638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |