| NPI | 1023761848 |
|---|---|
| Other Name | GINGER GILMORE CHILDRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 221) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |