Individual
LISA DENISE GENDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
168 BETTY POND RD, HOPE, RI 02831-1123
(401) 965-6897
Mailing address
169 BARTLETT AVE, CRANSTON, RI 02905-1316
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM00007
RI
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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