Individual
MIASHA GILLIAM-EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BERRY STREET, HOPEWELL, VA 23860-2386
(804) 943-9929
Mailing address
2100 BERRY ST, HOPEWELL, VA 23860-6412
(804) 943-9929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001226562
VA
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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