Individual
CHANTELLE GILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD-L
Contact information
Practice address
104 MELROSE AVE # 1, SYRACUSE, NY 13206-3471
(315) 863-7601
Mailing address
104 MELROSE AVE # 1, SYRACUSE, NY 13206-3471
(315) 863-7601
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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