Individual
MRS. GAIL ELAINE HURLEY-GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MHS
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0887
NH
363AS0400X
Surgical Physician Assistant
Primary
PA4068
MA
Other
Enumeration date
01/31/2011
Last updated
01/17/2014
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