Individual
KERVAND LOISEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1553 ROSA CIR, WEBSTER, NY 14580-9670
(904) 514-8976
Mailing address
75 FOUNTAIN ST, PROVIDENCE, RI 02902-0050
(904) 514-8976
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
06/18/2021
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