Individual
JASMINE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 US HIGHWAY 46 STE 420, FAIRFIELD, NJ 07004-1532
(973) 882-3456
Mailing address
10110 NORTHLAKE HEIGHTS CIR NE, ATLANTA, GA 30345-2275
(412) 853-9231
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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