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Jill Shamilov
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1821580150

Jill Shamilov is a Student in an Organized Health Care Education/Training Program based in Novato, CA. Jill Shamilov practices in Santa Rosa, CA. The NPI Number for Jill Shamilov is 1821580150 and holds a License No. (California).

The current practice location address for Jill Shamilov is 2447 Summerfield Rd, Santa Rosa, CA and can be reached out via phone at 707-544-3299.

Location: 2447 Summerfield Rd, Santa Rosa, CA, 94949-9810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821580150
Provider Name
Jill Shamilov
Credential
Provider Entity Type
Individual
Gender
Female
Address
2447 Summerfield Rd, Santa Rosa, CA, 94949-9810
Phone Number
707-544-3299
Fax Number
Provider Enumeration Date
06/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2447 Summerfield Rd
City
Santa Rosa
State
California
Zip
95405-7815
Phone Number
707-544-3299
Fax Number
person
Provider Business Mailing Address Details
Address
2447 Summerfield Rd
City
Santa Rosa
State
California
Zip
95405-7815
Phone Number
707-544-3299
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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