Individual provider · Type 1 NPI

Jill Shamilov

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1821580150 Active

Practice location

2447 Summerfield Rd
Santa Rosa, CA 95405-7815

Call (707) 544-3299 Map

Mailing address

530 Alameda Del Prado # 137C
Novato, CA 94949-9810

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821580150

Jill Shamilov's National Provider Identifier is 1821580150, issued on Jun 1, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 1, 2018.