Provider Demographics
NPI:1306275771
Name:MESITE FREM, JEANETTE (MHS, IBCLC, RLC, CCE)
Entity type:Individual
Prefix:MS
First Name:JEANETTE
Middle Name:
Last Name:MESITE FREM
Suffix:
Gender:F
Credentials:MHS, IBCLC, RLC, CCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01505-1410
Mailing Address - Country:US
Mailing Address - Phone:617-686-0052
Mailing Address - Fax:
Practice Address - Street 1:6 MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1647
Practice Address - Country:US
Practice Address - Phone:617-686-0052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN