Jenna Gagnon I

NPI #1194196634 in Pepperell, Massachusetts

Provider Information

NPI Number: 1194196634
Entity Type: Individual
Name: Jenna Gagnon I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 9, 2015
Last Updated: Oct 9, 2015

Practice Location

Address: 32A ELM ST
City: Pepperell
State: Massachusetts
ZIP Code: 01463-1603
Phone: (978) 502-9969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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