Search › Louisiana › 222Q00000X
Azelia Gillum
NPI 1124574421 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2013 Heather Lane
Slidell, LA 70461 - Phone
- (402) 517-1351
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 222Q00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana