Individual
MS. VENUS ALICIA GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
89 HIGHLAND AVE, APT. 1, GARDINER, ME 04345-1803
(207) 557-9020
Mailing address
89 HIGHLAND AVE, APT. 1, GARDINER, ME 04345-1803
(207) 557-9020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1004
ME
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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