Individual
MRS. DOREEN PATRICIA GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 PHOENIX AVE, LOWELL, MA 01852-4931
(978) 453-8331
Mailing address
126 PHOENIX AVE, LOWELL, MA 01852-4931
(978) 453-8331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
190805
MA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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