Individual
DIERDRE A GILLIAM
Active
Individual
DIERDRE A GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
607502
CA
163WC1500X
Community Health Registered Nurse
607502
CA
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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