Individual
AMANDA GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-4432
Mailing address
591 CHESTNUT HILL AVE, ATHOL, MA 01331-1909
(978) 257-5143
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
RN2272287
MA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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