Individual
MILLICENT GWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7807 SOMERSET CT, GREENBELT, MD 20770-3024
(301) 412-7154
Mailing address
7807 SOMERSET CT, GREENBELT, MD 20770-3024
(301) 412-7154
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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