Individual
MS. GAYLE E DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, CRRN, CDE
Contact information
Practice address
55 FOGG ROAD, SOUTH SHORE HOSPITAL DIABETES CENTER, SOUTH WEYMOUTH, MA 02190
(781) 624-4164
Mailing address
140 SPRING ST, QUINCY, MA 02169-3822
(617) 479-2607
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN190960
MA
163WR0400X
Rehabilitation Registered Nurse
RN190960
MA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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