Individual
THERESA A GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MURRAY HILL DR, MOUNT MORRIS, NY 14510-1122
(585) 243-7290
Mailing address
2 MURRAY HILL DR, MOUNT MORRIS, NY 14510-1122
(585) 243-7290
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
332909-1
NY
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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