Individual
JESSICA BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
176 WEST ST, MILFORD, MA 01757-2236
(339) 987-6294
Mailing address
176 WEST ST, MILFORD, MA 01757-2236
(339) 987-6294
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN
MA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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