SearchCalifornia225700000X

Jenna Gillies

NPI 1740150309 · on the registry since 2025 · sole proprietor

Practice

Address
28403 Boulder Dr
Trabuco Canyon, CA 92679
Phone
(951) 746-0262

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-10

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