Individual
JESSICA RUSCETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
229 N RAYMOND RD, POLAND, ME 04274-5952
(207) 770-0393
Mailing address
229 N RAYMOND RD, POLAND, ME 04274-5952
(207) 770-0393
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
PA
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
11/28/2023
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