Individual
MATTIE R GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11405 NOTRE DAME AVE, CLEVELAND, OH 44104-2553
(216) 231-9979
Mailing address
11405 NOTRE DAME AVE, CLEVELAND, OH 44104-2553
(216) 231-9979
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2919917
OH
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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