Individual
JILLALISON LEE RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
18945 FM 2252 STE 115, GARDEN RIDGE, TX 78266-2797
(866) 595-6379
Mailing address
320 POMELO DRIVE, APARTMENT 218, VISTA, CA 92081-6477
(609) 805-1459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14890400
NJ
163W00000X
Registered Nurse
Primary
L1-0038069
DE
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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