Individual
MS. JOSEPHINE MAGPANTAY GAVIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN-ED
Contact information
Practice address
101 MAIN ST STE 116, MEDFORD, MA 02155-4530
(781) 391-2121
(781) 391-3911
Mailing address
101 MAIN ST STE 116, MEDFORD, MA 02155-4530
(781) 391-2121
(781) 391-3911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN247335
MA
Other
Enumeration date
04/07/2016
Last updated
02/22/2018
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