Organization
HEALING HEARTS HOLISTICALLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DENISE LUCILLE JEZEWSKI RN, ACNS-BC (OWNER)
(508) 584-3278
Entity
Organization
Contact information
Practice address
348 NORTH PEARL ST, BROCKTON, MA 02301-2135
(508) 584-3278
(508) 584-3279
Mailing address
348 NORTH PEARL ST, BROCKTON, MA 02301-2135
(508) 584-3278
(508) 584-3279
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
RN173824
MA
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN173824
MA
Other
Enumeration date
10/03/2012
Last updated
10/01/2015
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