Individual
JILL EILEEN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8284
(619) 542-4060
Mailing address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8284
(619) 542-4060
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
472395
CA
Other
Enumeration date
12/16/2010
Last updated
07/18/2011
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