Betty Lou Gilliard LPN

NPI 1063620730 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1063620730
Gender Female
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
261 CONNECTICUT DR
SUITE 5
BURLINGTON NJ, 08016-4177, US
Phone (800) 950-6066
Fax
Business Location
3121 SIMPSON AVE
OCEAN CITY NJ, 08226-2252, US
Phone (609) 525-0178
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New Jersey
License Number 26NP05539400
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According to our database, Betty Lou Gilliard LPN NPI is 1063620730, taxonomy code is 164W00000X and license number is 26NP05539400, license state is located at New Jersey. Betty Lou Gilliard LPN physically located at 261 Connecticut Dr, Burlington NJ, 08016-4177. NPI Number Betty Lou Gilliard LPN has the Individual type.

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1063620730 NPI number is provided on an as is basis without warranty of any kind. 1063620730 is maintained by the National Plan & Provider Enumeration System. The contents of Betty Lou Gilliard LPN are for informational purposes only.