Individual
JESSICA K BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MSPT
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 796-7494
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
243108
MA
390200000X
Student in an Organized Health Care Education/Training Program
0600003406
VT
Other
Enumeration date
03/14/2007
Last updated
08/25/2010
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