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Jessica Churchville
NPI 1366915225 · on the registry since 2019 · sole proprietor
Practice
- Address
- 482 4th Ave
Portola, CA 96122 - Phone
- (702) 209-5809
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California