(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003308776
Provider Name: VICKI JANELLE GILLHAM RN
Entity Type: Individual
Taxonomy Code: 163W00000X
Specialty: Registered Nurse
License Number: 695658
Most Important Dates
Enumeration Date: 05/30/2018
Last Updated: 05/30/2018
Provider Practice Location
502 OLD BROCK ROAD #134
WEATHERFORD
TX
76088
Practice Location Phone/Fax
Phone: 5126202799
Fax:
Provider Mailing Location
PO BOX 1481
WEATHERFORD
TX
760861481
Provider Mailing Phone/Fax
Phone: 5126202799
Fax: