Individual
TAMMY LYNN GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10770 HOLE AVENUE, 106, RIVERSIDE, CA 92505
(951) 807-1265
Mailing address
10770 HOLE AVENUE, 106, RIVERSIDE, CA 92505
(951) 807-1265
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BL00128774
CA
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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