person
Tierra Gilliam
Home Health Registered Nurse in Baltimore, Maryland
NPI 1932782943

Tierra Gilliam is a Home Health Registered Nurse based in Baltimore, MD and is specialized in Home Health. Tierra Gilliam practices in Baltimore, MD. The NPI Number for Tierra Gilliam is 1932782943 and holds a License No. A00126215 (Maryland).

The current practice location address for Tierra Gilliam is 814 Dartmouth Rd Apt B, Baltimore, MD and can be reached out via phone at 410-572-7801.

Location: 814 Dartmouth Rd Apt B, Baltimore, MD, 21212-3124
person
Provider Profile Details
NPI Number
1932782943
Provider Name
Tierra Gilliam
Credential
Provider Entity Type
Individual
Gender
Female
Address
814 Dartmouth Rd Apt B, Baltimore, MD, 21212-3124
Phone Number
410-572-7801
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
861607291 01 MD AGENCY
institution
Provider Business Practice Location Address Details
Address
814 Dartmouth Rd Apt B
City
State
Zip
21212-3124
Phone Number
410-572-7801
Fax Number
person
Provider Business Mailing Address Details
Address
814 Dartmouth Rd Apt B
City
State
Zip
21212-3124
Phone Number
410-572-7801
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
A00126215 (Maryland)
Definition
Definition to come...
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