Individual
JEAN GILLILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2067 MCKEEVER RD, FRANKFORD, WV 24938-7224
(540) 588-8016
Mailing address
2067 MCKEEVER RD, FRANKFORD, WV 24938-7224
(540) 588-8016
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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