Individual
JANEIL AULTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 445-7715
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 445-7715
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
639723
CA
Other
Enumeration date
03/22/2018
Last updated
11/27/2018
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