Individual
BETTY JEAN GILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 WESTERN AVE, LYNN, MA 01904-3317
(617) 283-9510
Mailing address
433 WESTERN AVE, LYNN, MA 01904-3317
(617) 283-9510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
S70122907
MA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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