Individual
MARGARET E GJELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(333) 347-0584
Mailing address
91 LAUREL BREEZE DR, ENTERPRISE, AL 36330-7841
(333) 347-0584
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
029857
AL
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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