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Dr. Jackie A Bolds
Multi-Specialty Clinic/Center in Newark, California
NPI 1356497101

Jackie A Bolds is a Multi-Specialty Clinic/Center based in Oakland, CA and is specialized in Multi-Specialty. Jackie A Bolds practices in Newark, CA. The NPI Number for Jackie A Bolds is 1356497101 and holds a License No. G57227 (California).

The current practice location address for Jackie A Bolds is 6066 Civic Terrace Ave, Newark, CA and can be reached out via phone at 510-505-1600 and via fax at 510-494-7240.

Location: 6066 Civic Terrace Ave, Newark, CA, 94610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356497101
Provider Name
Jackie A Bolds
Credential
Provider Entity Type
Individual
Gender
Male
Address
6066 Civic Terrace Ave, Newark, CA, 94610
Phone Number
510-505-1600
Fax Number
510-494-7240
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6066 Civic Terrace Ave
City
Newark
State
California
Zip
94560
Phone Number
510-505-1600
Fax Number
510-494-7240
person
Provider Business Mailing Address Details
Address
6066 Civic Terrace Ave
City
Newark
State
California
Zip
94560
Phone Number
510-505-1600
Fax Number
510-494-7240
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
G57227 (California)
Definition
Definition to come...
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