Individual
KHISHA GILLHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 SEAVER ST, BOSTON, MA 02121
(617) 470-5899
Mailing address
356 SEVER ST, BOSTON, MA 02121
(617) 470-5899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN265865
MA
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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