Individual
MS. DANIELLE JACQUELINE GOUSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDOE, BSN
Contact information
Practice address
200 HIGH SERVICE AVE., N. PROV., RI 02904
(401) 868-6100
Mailing address
146 STEDMAN AVE, PAWTUCKET, RI 02860-2444
(401) 335-3530
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN33026
RI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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