Individual
ANDREA JOY GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 STATE AVE, TIVERTON, RI 02878-1062
(402) 310-1421
Mailing address
55 GIFFORD AVE, DARTMOUTH, MA 02747-2419
(402) 310-1421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2272437
MA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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