Individual
MRS. TIA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 OLD GREEN RD APT 101, BEACHWOOD, OH 44122-4089
(216) 544-8585
Mailing address
3446 OLD GREEN RD APT 101, BEACHWOOD, OH 44122-4089
(216) 544-8585
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
402339
OH
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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