Individual
ELIZABETH GAUDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCCE, CD(DONA)
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
114354
MA
374J00000X
Doula
Primary
R049622
ME
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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