Individual
MRS. JULIE EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-0007
(508) 595-0788
Mailing address
PO BOX 15007, WORCESTER, MA 01615-0007
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
174054
MA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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