Individual
JESSIE DOKTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
3 WALL RD, HOLYOKE, MA 01040-9650
(413) 536-3782
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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