Individual
MRS. JESSICA ANGELA POLSELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
135 GLEN AVE, UPTON, MA 01568
(508) 922-8318
Mailing address
135 GLEN AVE, UPTON, MA 01568-1716
(508) 922-8318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN69775
MA
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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