Individual
SHELLEY N GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E ASCENSION ST, GONZALES, LA 70737-3028
(225) 505-2463
(225) 505-2463
Mailing address
711 E ASCENSION ST, GONZALES, LA 70737-3028
(225) 505-2463
(225) 505-2463
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CLS.203453-LAB
LA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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