MISS Jillian Bothwell is a student in an organized health care education training program in Los Angeles, CA. The provider is 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. MISS Jillian Bothwell NPI is 1639753072. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1540 ALCAZAR STREET CHP 133
LOS ANGELES, CA
ZIP 90089
Phone: (323) 442-2850
The enumeration date for this NPI number is 5/11/2021 and was last updated on 6/2/2021.