Individual
GAELYN DESTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CLC
Contact information
Practice address
325 HIGH ST, IPSWICH, MA 01938-1242
(978) 290-1031
Mailing address
325 HIGH ST, IPSWICH, MA 01938-1242
(978) 290-1031
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN2278998
MA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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