Individual
MR. JUDE GAMANUEL ADOLPHE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 659-5069
Mailing address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 659-5069
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2324231
MA
Other
Enumeration date
08/07/2021
Last updated
01/03/2024
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