Individual
CHRISTINE C SQUILLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 THATCHER RD, GLOUCESTER, MA 01930-3138
(978) 281-7006
Mailing address
25 THATCHER RD, GLOUCESTER, MA 01930-3138
(978) 281-7006
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
99704
MA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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