Individual
MS. OLIVIA GAY GULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1 JOHNNYCAKE LN, PORTSMOUTH, RI 02871-4109
(401) 474-8030
Mailing address
1 JOHNNYCAKE LN, PORTSMOUTH, RI 02871-4109
(401) 474-8030
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2010
Last updated
03/14/2010
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