LATRICE MARIE GILLIS

TONAWANDA, NY
NPI1891407185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  404533)
Enumeration Date2022-12-19
Last Update Date2022-12-19
Business Address
Mrs. LATRICE MARIE GILLIS PMHNP
72 EVERGREEN DR
TONAWANDA, NY 14150-6402
Phone number: 716-799-2063
Mailing Address
Mrs. LATRICE MARIE GILLIS PMHNP
72 EVERGREEN DR
TONAWANDA, NY 14150-6402
Phone number: 716-799-2063