Individual
MS. JAIME JETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1777 NORTHAMPTON ST, HOLYOKE, MA 01040-1920
(413) 824-1904
Mailing address
1777 NORTHAMPTON ST, HOLYOKE, MA 01040-1920
(413) 824-1904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S70688144
DRIVERS LICENSE NUMBER
MA
Enumeration date
11/01/2013
Last updated
11/01/2013
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