Individual
STARLETT GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BYRAM DR APT 22D, BYRAM, MS 39272-9759
(601) 572-1191
Mailing address
100 BYRAM DR APT 22D, BYRAM, MS 39272-9759
(601) 572-1191
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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