Individual
MRS. JERILYNN THISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
519 MAIN ST, MEDFIELD, MA 02052-2522
(508) 359-6050
Mailing address
80 ACCESS RD, NORWOOD, MA 02062-5237
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6739
MA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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