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Organization

JILLIAN BROOKS

Active
Other names
Corning X-Ray
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JILLIAN BROOKS CRT (OWNER/TECHNOLOGIST)
(530) 824-9433
Entity
Organization

Contact information

Practice address
155 SOLANO ST, CORNING, CA 96021-3511
(530) 824-9433
(530) 824-9497
Mailing address
1220 ALMOND AVE, REDDING, CA 96001-1308
(530) 824-9433
(530) 824-9497

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
01732
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
IDTF00170
CA
01
ZZZ6103012
BLUE SHIELD
Enumeration date
02/12/2007
Last updated
05/17/2011
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