Individual
NICOLE GENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
69 PEARSON BLVD, GARDNER, MA 01440-3368
(978) 630-6932
Mailing address
75 MERCURY DR, SHREWSBURY, MA 01545-1939
(774) 276-1905
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4775
MA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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