Charles, Jillian Rose

Charles, Jillian Rose is an individual health care provider with primary practice located at 300 Harbor Blvd , Belmont CA 94002-4018. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Charles, Jillian Rose can be contacted via phone (650) 817-9070.

Contact Information

Primary practice address
300 Harbor Blvd Belmont CA 94002-4018
Phone: (650) 817-9070
Fax: (650) 246-3838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1437667359
LBN Legal business name Charles, Jillian Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2018
Last updated Jan 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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