MS. DORA GILLIAM, LPN
Registered Nurse
Active
Individual
NPI: 1659895803
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | No | 4703094401 (MI) |
| Registered Nurse | 163W00000X | Yes | 4704419933 (MI) |
Frequently Asked Questions
NPI 1659895803 is the National Provider Identifier for MS. DORA GILLIAM, LPN, a Registered Nurse provider located in Detroit, MI. This NPI was enumerated on July 31, 2017.
MS. DORA GILLIAM, LPN practices at 6309 MACK AVE, Detroit, MI 48207.
Quick Facts
- NPI
- 1659895803
- Type
- Individual
- Enumerated
- Jul 31, 2017
- Last Updated
- Oct 17, 2024
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