Individual
MELISSA GANTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 DAILEY RD, BROCKTON, MA 02302-2250
(617) 407-6517
Mailing address
15 DAILEY RD, BROCKTON, MA 02302-2250
(617) 407-6517
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2322823
MA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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