Individual
GAELLE A WAGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2332576
MA
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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