Individual
JULIA GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 W MCNICHOLS RD, DETROIT, MI 48221-2357
(313) 340-4442
Mailing address
1971 HUBBARD ST, DETROIT, MI 48209-3302
(313) 805-1806
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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