Individual
MR. JAMES GEORGE MACCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3449 MONIQUE LN, SPRING VALLEY, CA 91977-2883
(619) 644-1626
Mailing address
3449 MONIQUE LN, SPRING VALLEY, CA 91977-2883
(619) 644-1626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
399517
CA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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