Individual
MRS. LATRICE MARIE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
72 EVERGREEN DR, TONAWANDA, NY 14150-6402
(716) 799-2063
Mailing address
72 EVERGREEN DR, TONAWANDA, NY 14150-6402
(716) 799-2063
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404533
NY
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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