Individual
JILLYAN HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
IHS CHINLE HOSPITAL, CHINLE, AZ 86503-8000
(928) 674-7001
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000043407
TN
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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