Individual
REBECCA OPAL GILLILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA -C
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-8787
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8787
(847) 618-2209
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/23/2020
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