Individual
JILL ANN GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
BUILDING 170, FORT IRWIN, CA 92310
(760) 380-5434
Mailing address
8319 SHILOH ST, FORT IRWIN, CA 92310-2419
(760) 386-8228
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
682109
CA
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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