Individual
JACY MARIE BESSOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
414 HANOVER ST APT 5, BOSTON, MA 02113-1420
(805) 231-0088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2293197
MA
Other
Enumeration date
07/30/2018
Last updated
09/13/2020
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