Shadale Gillespie

NPI #1134523079 in Maricopa, Arizona

Provider Information

NPI Number
1134523079
Entity Type
Individual
Name
Shadale Gillespie
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Oct 21, 2014
Last Updated
Oct 21, 2014

Practice Location

Address
45565 W. RAINBOW DR.
State
Arizona
ZIP Code
85139
Phone
(414) 514-9216

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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