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Individual

SHEILA SWAN GILLGRASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN ASN

Contact information

Practice address
2973 LAWYER DR, PLACERVILLE, CA 95667-9058
(513) 837-2393
Mailing address
2973 LAWYER DR, PLACERVILLE, CA 95667-9058
(510) 837-2393

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN680784
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EPS016630
CA
05
RVN004780
CA
Enumeration date
03/28/2007
Last updated
04/18/2024
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