Individual
MRS. MOLLY LOUVNIA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8103 JENNI AVE, CLINTON, MD 20735-2218
(240) 305-7191
(301) 877-2546
Mailing address
PO BOX 785, CLINTON, MD 20735-0785
(240) 305-7191
(301) 877-2546
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A00040639
MD
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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