Tillman, Jacqueline

Tillman, Jacqueline is an sole proprietor health care provider with primary practice located at 11015 Bloomfield Ave , Santa Fe Springs CA 90670-4601. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Tillman, Jacqueline can be contacted via phone (626) 485-6088.

Contact Information

Primary practice address
11015 Bloomfield Ave Santa Fe Springs CA 90670-4601
Phone: (626) 485-6088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1639398662
LBN Legal business name Tillman, Jacqueline
Credentials RAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Sep 13th, 2012 - about 13 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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