Individual
KIMBERLY GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 MACALPIN CT, VIRGINIA BEACH, VA 23464-7840
(757) 609-5208
(757) 390-4506
Mailing address
1504 MACALPIN CT, VIRGINIA BEACH, VA 23464-7840
(757) 609-5208
(757) 339-4506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001276458
VA
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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