Individual
AMBER GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7216 JEWELL AVE, FORT WORTH, TX 76112-5824
(214) 529-7872
Mailing address
7216 JEWELL AVE, FORT WORTH, TX 76112-5824
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
328953
TX
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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