Individual
MR. JIM C BILLURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1533 SANTA INEZ DR, SAN JOSE, CA 95125-5329
(805) 395-0448
Mailing address
1842 ESTATES DR UNIT A, MONTROSE, CO 81401-7134
(805) 395-0448
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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