Jessica Nicole Churchville
NPI #1366915225 in Portola, California
Provider Information
- NPI Number
- 1366915225
- Entity Type
- Individual
- Name
- Jessica Nicole Churchville
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Jan 3, 2019
- Last Updated
- Jan 3, 2019
Practice Location
- Address
- 482 4TH AVE
- City
- Portola
- State
- California
- ZIP Code
- 96122-9235
- Phone
- (702) 209-5809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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