Search › Maryland › 163WH0200X
Tierra Gilliam
NPI 1932782943 · on the registry since 2021 · sole proprietor
Practice
- Address
- 814 Dartmouth Rd Apt B
Baltimore, MD 21212 - Phone
- (410) 572-7801
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland