Haley Rae Gilmore, LVN
Licensed Vocational Nurse in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1225879463
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1225879463
- Entity type
- Individual (NPI-1)
- Name
- Haley Rae Gilmore
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2024
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 739184 | CA | Yes |
Practice location
1141 Chelsea StRidgecrest, CA 93555-3208
Phone 760-301-5140
Mailing address
1141 Chelsea StRidgecrest, CA 93555-3208
Phone 760-301-5140
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