Individual
KATINA L GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 CARNEAL ST, RICHMOND, VA 23223-2412
(804) 496-0752
Mailing address
1800 CARNEAL ST, RICHMOND, VA 23223-2412
(804) 496-0752
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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