Individual
MRS. MINYON ROGERS GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
15790 PAUL VEGA DR, HAMMOND, LA 70403-1434
(985) 345-2700
Mailing address
PO BOX 3087, CREDENTIALING, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05211
LA
Other
Enumeration date
06/18/2007
Last updated
01/06/2023
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