Provider Demographics
NPI:1770844284
Name:GUILES, GLADYS N
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:N
Last Name:GUILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 51ST ST
Mailing Address - Street 2:APT. # 102
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1348
Mailing Address - Country:US
Mailing Address - Phone:240-350-2503
Mailing Address - Fax:
Practice Address - Street 1:4111 51ST ST
Practice Address - Street 2:APT. # 102
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1348
Practice Address - Country:US
Practice Address - Phone:240-350-2503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide