Individual
NAOMI LOIS GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 ALDRIDGE HOLW, GREENUP, KY 41144-7364
(606) 465-6608
Mailing address
333 ALDRIDGE HOLW, GREENUP, KY 41144-7364
(606) 465-6608
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
9800648
OH
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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