MISS Chenita Dawn Gillum

NPI #1639399215 in Mansfield, Ohio

Provider Information

NPI Number: 1639399215
Entity Type: Individual
Name: MISS Chenita Dawn Gillum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Apr 26, 2007
Last Updated: Aug 30, 2023

Practice Location

Address: 260 E COOK RD
Address 2: APT 109
City: Mansfield
State: Ohio
ZIP Code: 44907
Phone: (419) 756-5137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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