Individual
KRISTEN GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 S 6TH ST APT 3, NEW BEDFORD, MA 02740-4860
(508) 858-1771
Mailing address
72 S 6TH ST APT 3, NEW BEDFORD, MA 02740-4860
(508) 858-1771
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT16693
MA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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