Individual
KRISTINE MARIE BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
52 PEARSON BLVD, GARDNER, MA 01440-3947
(978) 632-4818
Mailing address
16 SPRUCEWOOD LN, WORCESTER, MA 01606-1193
(508) 612-2968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27115
MA
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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