Individual
SARA GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
111 WILLARD ST STE 2A, QUINCY, MA 02169-1274
(617) 471-4491
Mailing address
111 WILLARD ST STE 2A, QUINCY, MA 02169-1274
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3583
MA
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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