Individual
CHERICKA MONET GILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1153 ROSSMORE AVE, CINCINNATI, OH 45237-5123
(513) 817-8119
Mailing address
1153 ROSSMORE AVE, CINCINNATI, OH 45237-5123
(513) 817-8119
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401787120915
OH
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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