Individual
ILISSA STELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
54 THOMAS ST, DEDHAM, MA 02026-2242
(585) 815-3117
Mailing address
54 THOMAS ST, DEDHAM, MA 02026-2242
(585) 815-3117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2294952
MA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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