Individual
KEYLA DENISSE GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 SOUTHWOOD DR, NASHUA, NH 03063-1899
(603) 577-4200
(603) 577-7972
Mailing address
2300 SOUTHWOOD DR, NASHUA, NH 03063-1899
(603) 577-4200
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1236
NH
Other
Enumeration date
02/04/2017
Last updated
02/11/2021
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