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Johnette Basden
NPI 1881970929 · on the registry since 2011 · sole proprietor
Practice
- Address
- 58 Westville St
Dorchester Center, MA 02124 - Phone
- (617) 412-6504
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts