Jeremy Nilsen's National Provider Identifier (NPI) Details
Jeremy Nilsen,
NPI: 1023153376
Enumeration Date: 2007-02-21
Last updated: 2010-10-05
Sole Proprietor: NO
Status: active
Postal Address: 720 WOOD ST, EUREKA, CA
Phone: 707-268-2900
Primary Practice Address: 720 WOOD ST, EUREKA, CA
Practice's phone: 707-268-2900