Individual
MRS. PAULA GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
510 E CASS ST, SAINT JOHNS, MI 48879-1915
(989) 224-7733
Mailing address
510 E CASS ST, SAINT JOHNS, MI 48879-1915
(989) 224-7733
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703086497
MI
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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