Individual
LORAN GILLASPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT I
Contact information
Practice address
145 BOST AVE, NEVADA CITY, CA 95959-3249
(530) 265-9045
(530) 478-7977
Mailing address
145 BOST AVE, NEVADA CITY, CA 95959-3249
(530) 265-9045
(530) 478-7977
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
R1196130315
CA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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