Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | A145321 | CA |
NPI | 1386993806 |
---|---|
Provider Name | Mr. Jules Vieaux |
First Address | Oakland, CA 94611-5730 |
Second Address | Oakland, CA 94611-5730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2012 |
Last Update Date | 11/02/2022 |