Diedra Gilchrest, | |
7930 N Fountain Park, Apt 28, Westland, MI 48185-4502 | |
(313) 205-0234 | |
Not Available |
Full Name | Diedra Gilchrest |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 7930 N Fountain Park, Westland, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588119754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703065927 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Diedra Gilchrest, 7930 N Fountain Park, Apt 28, Westland, MI 48185-4502 Ph: (313) 205-0234 | Diedra Gilchrest, 7930 N Fountain Park, Apt 28, Westland, MI 48185-4502 Ph: (313) 205-0234 |
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