Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1306275771 |
---|---|
Provider Name | Ms. Jeanette Mesite Frem |
First Address | Boylston, MA 01505-1541 |
Second Address | Boylston, MA 01505-1541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2013 |
Last Update Date | 06/11/2013 |