Individual
SHELLY H HANNAN MARMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCRUB TECH
Contact information
Practice address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7984
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7984
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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