Individual
GRETCHEN POMERLEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(800) 865-3384
Mailing address
17 POOLE ST, BROCKTON, MA 02301-1803
(508) 345-1265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88363
MA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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