Individual
MRS. BRENDA GWAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 IRVING ST, # 2, REVERE, MA 02151-5232
(978) 760-1825
Mailing address
11 IRVING ST, # 2, REVERE, MA 02151-5232
(978) 760-1825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260897
MA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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