Individual
GERARD PHILIP EYSSALLENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 HAVERHILL STREET, LAWRENCE, MA 01841
(978) 686-0090
Mailing address
PO BOX 211, METHUEN, MA 01844-0211
(978) 943-1049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN234932
MA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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