Individual
MRS. LA-TRISHA NICHELL GILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 ROBINWOOD AVE, SAGINAW, MI 48601-3927
(989) 890-5348
Mailing address
2610 ROBINWOOD AVE, SAGINAW, MI 48601-3927
(989) 890-5348
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
372500000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001531555
—
MI
Enumeration date
05/09/2015
Last updated
05/09/2015
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