Individual
MS. BRENDA JO GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4916 NE ST JOHNS RD, VANCOUVER, WA 98661-2547
(360) 891-2400
Mailing address
11602 NE 31ST ST, VANCOUVER, WA 98682-8728
(360) 604-8673
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00001964
WA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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