Individual
JASHAAD GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
176 LARAMIE CIR, DANVILLE, VA 24541-6324
(434) 203-6710
Mailing address
176 LARAMIE CIR, DANVILLE, VA 24541-6324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2255A2300X
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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