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NPI Profile for JESSICA GERVAIS in WORCESTER, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
163WP0200X |
| NPI # | 1225238405 |
|
| Status | Active | |
| Credentials | RN,BSN | |
| Entity | Individual | |
| Enumeration date | 07/24/2007 | |
| Last updated | 07/24/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JESSICA GERVAIS
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JESSICA GERVAIS, RN,BSN