Provider Demographics
NPI:1457816142
Name:WILLKOM, JULIE MA (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MA
Last Name:WILLKOM
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Gender:F
Credentials:RN
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Mailing Address - Street 1:1411 EAST 31ST STREET
Mailing Address - Street 2:ACT 1ST FLOOR, INFECTION CONTROL, ROOM 1703
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602
Mailing Address - Country:US
Mailing Address - Phone:510-535-7701
Mailing Address - Fax:510-535-7675
Practice Address - Street 1:1411 EAST 31ST STREET
Practice Address - Street 2:HIGHLAND CARE PAVILION, TB CLINIC, 5TH FLOOR
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602
Practice Address - Country:US
Practice Address - Phone:510-437-6466
Practice Address - Fax:510-535-7675
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
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Provider Licenses
StateLicense IDTaxonomies
CA754149163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care