Gilliam, Maya Alfridra

Gilliam, Maya Alfridra is an individual health care provider with primary practice located at 707 N Main St , Winston Salem NC 27101-3028. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Gilliam, Maya Alfridra can be contacted via phone (336) 793-2991.

Contact Information

Primary practice address

707 N Main St Winston Salem NC 27101-3028

Phone: (336) 793-2991

Fax: (866) 440-0711

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist	225700000X	11053	North Carolina

Profile Details

NPI number	1578827382
LBN Legal business name	Gilliam, Maya Alfridra
Credentials	NC#11053
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 26th, 2012
Last updated	Jun 26th, 2012 - about 14 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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