Individual
AMY J GAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
71 MAIN ST, STURBRIDGE, MA 01566-1268
(508) 347-0055
Mailing address
52 OLD FARM RD, STURBRIDGE, MA 01566-1221
(508) 347-0055
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
216026
MA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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