Individual
SAMANTHA GILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI 02842-5674
(401) 846-1213
Mailing address
4 GRAVELY DR, MIDDLETOWN, RI 02842-4424
(401) 369-2627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN50133
RI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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