Justin C Gagnon Valid NPI

Individual provider · Licensed Practical Nurse · Enfield, CT

NPI

1114819570

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

38841 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2025-07-18

Last updated

2025-07-18