Individual
KATHLEEN PATRICIA GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(857) 526-1395
Mailing address
23 SUOMI RD, QUINCY, MA 02169-4810
(857) 526-1395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN203079
MA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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