Individual
LATIFAH A GILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME HEALTH PROVIDER
Contact information
Practice address
710 MASON ST, SUMMERVILLE, SC 29485-7507
(843) 819-6175
Mailing address
710 MASON ST, SUMMERVILLE, SC 29485-7507
(843) 819-6175
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
IHCP-1915
SC
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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