Individual
CYBILL CHARISS GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1036 W ELM ST, LIMA, OH 45805-3233
(419) 996-9125
Mailing address
1036 W ELM ST, LIMA, OH 45805-3233
(419) 996-9125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.395825-
OH
163WH0200X
Home Health Registered Nurse
RN.395825-
OH
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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