Individual
MISS DIANA BRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSOCIATES
Contact information
Practice address
184 LINCOLN ST, NORTH EASTON, MA 02356-1799
(508) 238-7053
Mailing address
117 N WALKER ST, TAUNTON, MA 02780-2145
(508) 863-4444
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
353
MA
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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