Individual
GREG W GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
51621 N DEMOSS RD, BENTON CITY, WA 99320-5177
(509) 588-2616
Mailing address
51621 N DEMOSS RD, BENTON CITY, WA 99320-5177
(509) 588-2616
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN60092637
WA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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