Individual
CHRISTINA MARIE GAUTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 COMMONWEALTH AVE, BOSTON, MA 02215-1001
(617) 295-7235
Mailing address
18 HALLAM ST APT 1, DORCHESTER, MA 02125-4606
(978) 833-3552
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN2348194
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MA
Enumeration date
02/13/2023
Last updated
02/13/2023
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