Individual
LISA PAVELKA-JALETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WEST ST, MANSFIELD, MA 02048-2403
(508) 339-1418
Mailing address
77 WEST ST, MANSFIELD, MA 02048-2403
(508) 339-1418
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00926
RI
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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