Jessica Nicole Churchville Valid NPI
Individual provider · Nurse's Aide · Portola, CA
- NPI
- 1366915225
- Type
- Individual (Type 1)
- Primary specialty
- Nurse's Aide
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 376K00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-01-03
- Last updated
- 2019-01-03
Practice location
482 4th Ave
Portola, CA 96122-9235
(702) 209-5809