GAIRLANDE AUDIESSE-VITAL

BROCKTON, MA
NPI1477893071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MA  258891)
Enumeration Date2013-02-20
Last Update Date2023-09-21
Business Address
GAIRLANDE AUDIESSE-VITAL NP
10 MEADOWBROOK RD
BROCKTON, MA 02301-7122
Phone number: 508-408-9220
Mailing Address
GAIRLANDE AUDIESSE-VITAL NP
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 02118-2690
Phone number: