Individual
CHRISTINE M GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, RN, CWHE, CCP
Contact information
Practice address
12 SWAN LN, MYSTIC, CT 06355-2170
(860) 235-0525
Mailing address
12 SWAN LN, MYSTIC, CT 06355-2170
(860) 235-0525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
084627
CT
163W00000X
Registered Nurse
RN45326
RI
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/11/2014
Last updated
05/11/2014
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