Individual
JACKI DECESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 FALL RIVER AVE BLDG 3, SEEKONK, MA 02771-3744
(508) 557-0322
Mailing address
PO BOX 393, SEEKONK, MA 02771-0393
(508) 557-0322
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
02/02/2022
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