Individual
STEPHANIE PULVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
677 TIMPANY BLVD, GARDNER, MA 01440-3452
(978) 669-4094
Mailing address
677 TIMPANY BLVD, GARDNER, MA 01440-3452
(978) 669-4094
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
5995
MA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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