Individual
CANDICE TETRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 VESPER LN, L-1 GOUIN VILLAGE, NANTUCKET, MA 02554-4394
(508) 228-2689
Mailing address
20 VESPER LN, L-1 GOUIN VILLAGE, NANTUCKET, MA 02554-4394
(508) 228-2689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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