Individual
GILLIAN MARY SPARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
359 RAILROAD AVE, LOLETA, CA 95551-0451
(707) 733-5012
Mailing address
359 RAILROAD AVE, LOLETA, CA 95551-0451
(707) 733-5012
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN219103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVN004220
IN HOME OPERATIONS
CA
Enumeration date
04/26/2007
Last updated
07/08/2007
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