Individual
JANUARY NICOLE GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
8600 S ACADEMY WAY, LADOGA, IN 47954-8112
(765) 918-6893
Mailing address
8600 S ACADEMY WAY, LADOGA, IN 47954-8112
(765) 918-6893
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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