Shasta Dawn Gilliam
Shasta Dawn Gilliam is a Homemaker in Beckley, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
Beckley, WVNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1497354211 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 22, 2020 |
| Last updated in NPPES | October 22, 2020 |
| Certification date | October 22, 2020 |
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