Individual
JULIETTE REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 HARBOR VIEW RD, MILTON, MA 02186-5255
(617) 291-0743
Mailing address
185 HARBOR VIEW RD, MILTON, MA 02186-5255
(617) 291-0743
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
ADULT DAY CARE
—
05
—
00000000
—
MA
Enumeration date
02/07/2018
Last updated
02/07/2018
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