Eugene Gilliam JR.

NPI #1881169258 in Mentor, Ohio

Provider Information

NPI Number
1881169258
Entity Type
Individual
Name
Eugene Gilliam JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 11, 2018
Last Updated
Oct 11, 2018

Practice Location

Address
9220 MENTOR AVE
City
Mentor
State
Ohio
ZIP Code
44060-6412
Phone
(440) 354-9924

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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