Individual
CHELSEA MAY JUTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(907) 378-2887
Mailing address
6206 TALON TRL, WICHITA FALLS, TX 76310-2878
(907) 378-2887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
839805
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140152
TX
Other
Enumeration date
10/17/2018
Last updated
02/03/2019
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