Individual
KIMBERLY M DISALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
195 BLAKE CORNER RD # A, PHILLIPSTON, MA 01331-9793
(978) 895-0967
Mailing address
195 BLAKE CORNER RD # A, PHILLIPSTON, MA 01331-9793
(978) 895-0967
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2296847
MA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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