Individual
GAELLE LADOUCEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 VICTORY RD APT 130, SPRINGFIELD, NJ 07081-1334
(404) 734-2053
Mailing address
118 VICTORY RD APT 130, SPRINGFIELD, NJ 07081-1334
(404) 734-2053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
680770
NY
163WH0200X
Home Health Registered Nurse
680770
NY
Other
Enumeration date
08/07/2023
Last updated
05/02/2024
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