Individual
JIM WARRILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2639 FOREST AVE STE 110, CHICO, CA 95928-4393
(530) 899-2255
Mailing address
2639 FOREST AVE STE 110, CHICO, CA 95928-4393
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
159952
CA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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