Individual
MRS. GABRIELLE EDEN PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23 CLARA DR, SUITE 201, MYSTIC, CT 06355-1959
(860) 536-1666
Mailing address
23 CLARA DR, SUITE 201, MYSTIC, CT 06355-1959
(860) 536-1666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002016
CT
Other
Enumeration date
02/19/2008
Last updated
11/15/2010
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