person
Dirck Anthony Gillam
Student in an Organized Health Care Education/Training Program in New Orleans, Louisiana
NPI 1730477449

Dirck Anthony Gillam is a Student in an Organized Health Care Education/Training Program based in Metairie, LA. Dirck Anthony Gillam practices in New Orleans, LA. The NPI Number for Dirck Anthony Gillam is 1730477449 and holds a License No. 045476 (Louisiana).

The current practice location address for Dirck Anthony Gillam is 145 Elk Pl, New Orleans, LA and can be reached out via phone at 504-525-0918.

Location: 145 Elk Pl, New Orleans, LA, 70001-8805
person
Provider Profile Details
NPI Number
1730477449
Provider Name
Dirck Anthony Gillam
Credential
Provider Entity Type
Individual
Gender
Male
Address
145 Elk Pl, New Orleans, LA, 70001-8805
Phone Number
504-525-0918
Fax Number
Provider Enumeration Date
07/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
145 Elk Pl
City
State
Zip
70112-2645
Phone Number
504-525-0918
Fax Number
person
Provider Business Mailing Address Details
Address
145 Elk Pl
City
State
Zip
70112-2645
Phone Number
504-525-0918
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
045476 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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