Individual
CORLIS GREMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6176 TIGER TRACE AVE, BATON ROUGE, LA 70817-4631
(225) 933-9771
Mailing address
6176 TIGER TRACE AVE, BATON ROUGE, LA 70817-4631
(225) 933-9771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
55693
LA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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