Individual
RENEE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 MAIN ST # 103, PEABODY, MA 01960-8307
(781) 244-4818
Mailing address
65 MAIN ST # 103, PEABODY, MA 01960-8307
(781) 244-4818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2302987
MA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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