Individual
RYAN MICHAEL GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CPEN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(708) 567-7190
Mailing address
14 BIRCH LN, SCITUATE, MA 02066-1106
(708) 567-7190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN227557
MA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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