Individual
MRS. BRENDA MARIE GENDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 KIMBERLY LANE, EASTHAMPTON, MA 01027-2631
(413) 527-4276
Mailing address
21 KIMBERLY LN, EASTHAMPTON, MA 01027-2631
(413) 527-4276
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LN52300
MA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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