GILLIAN WACKOWSKI

LEMOORE, CA
NPI1841610953
Former NameGILLIAN ROSALYN HOLLAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02004734A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-16
Last Update Date2019-05-07
Business Address
GILLIAN WACKOWSKI D.O.
937 FRANKLIN BLVD
LEMOORE, CA 93246
Phone number: 559-998-0889
Mailing Address
GILLIAN WACKOWSKI D.O.
937 FRANKLIN BLVD
LEMOORE, CA 93246-4700
Phone number: 559-998-0889