Individual
JENNIFER M GERHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
Mailing address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90737
MA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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