Most Relevant Information
Provider Data
NPI Number: | 1003551714 |
Provider Name: | SHEILA DENISE GILLILAND |
Entity Type: | Individual |
Taxonomy Code: | 251S00000X |
Specialty: | Community/Behavioral Health |
License Number: |
Most Important Dates
Enumeration Date: | 04/28/2022 |
Last Updated: | 04/28/2022 |
Provider Practice Location
703 GREEN ST
RIVERTON
WY
825018910
Practice Location Phone/Fax
Phone: | 3078510158 |
Fax: |
Provider Mailing Location
703 GREEN ST
RIVERTON
WY
825018910
Provider Mailing Phone/Fax
Phone: | 3078510158 |
Fax: |