Individual
DR. WILMA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7801 ROYAL FERN CT, CLINTON, MD 20735-2054
(202) 497-9157
Mailing address
7801 ROYAL FERN CT, CLINTON, MD 20735-2054
(202) 497-9157
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24893
DC
Other
Enumeration date
03/16/2017
Last updated
08/17/2018
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