Individual
MS. PRISCILLA MARY GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.T.C.
Contact information
Practice address
480 MANOR PLZ, PACIFICA, CA 94044-1839
(650) 355-8787
Mailing address
867 MILLS AVE, SAN BRUNO, CA 94066-3105
(650) 872-1671
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
081542
CA
Other
Enumeration date
06/20/2011
Last updated
06/21/2011
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