Individual
REBECCA GANNON-GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 CORDAGE PARK CIR, SUITE 115, PLYMOUTH, MA 02360-7318
(508) 778-5470
Mailing address
49 LARCH LN, CENTERVILLE, MA 02632-2883
(508) 726-3453
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2279753
MA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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