Individual
AMANDA MAXINE MARIE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7672 MILL CREEK RD, WALLA WALLA, WA 99362-8491
(509) 540-2628
Mailing address
7672 MILL CREEK RD, WALLA WALLA, WA 99362-8491
(509) 540-2628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61240627
WA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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