JILLIAN CLARK BLAISDELL

PROVIDENCE, RI
NPI1881171403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: RI  AUD00242)
Enumeration Date2018-07-26
Last Update Date2019-03-12
Business Address
JILLIAN CLARK BLAISDELL
148 W RIVER ST STE 2A
PROVIDENCE, RI 02904-2615
Phone number: 401-616-1719
Mailing Address
JILLIAN CLARK BLAISDELL
148 W RIVER ST STE 2A
PROVIDENCE, RI 02904-2615
Phone number: 401-616-1719