JACKIE A BOLDS

NEWARK, CA
NPI1356497101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
(Licence: CA  G57227)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
Dr. JACKIE A BOLDS
6066 CIVIC TERRACE AVE
NEWARK, CA 94560
Phone number: 510-505-1600
Mailing Address
Dr. JACKIE A BOLDS
PO BOX 10285
OAKLAND, CA 94610
Phone number: