Individual
DORENDA L GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 POTTERS LN, CLARKSVILLE, IN 47129-1017
(443) 483-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015706A
IN
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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