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My Background


Josette Giuffrida, DNP, FNP-C, owner of REFRESH Medical Spa & Wellness, has been in healthcare for over 25 years. She has practiced  in the aesthetic area and medical spa field for over 10 years.   She has continually updated her knowledge and skills in the medical aesthetic industry to offer her clients the most up to date and effective treatments.  She enjoys helping men and women feel more confident in their appearance.


Josette is excited to continue on her journey in providing quality patient experiences and top of the line services and products.

Josette enjoys all outdoor activities and spending time with her husband, Anthony, and two dogs.

Josette M. Giuffrida


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Julie M. McDonald was born and raised in Somerset, MA.  She received a BSN in Nursing from Boston College in 1998 and an MSN in Midwifery from SUNY Stonybrook in 1999.  She has practiced as a Certified Nurse Midwife in Fall River, caring for women and their families for almost 20 years.  

Julie's interest include Obstetrical and Gynecological care, Dermatology and Aesthetic Medicine.  

Julie enjoys travel, spending time with her three children and family, golf, skiing and the ocean. 

Julie M. McDonald





Christine Guastella

Licensed Medical Aesthetician

We are excited that Christine is part of the REFRESH team!  She brings over 20 years of experience in cosmetic surgery and medical aesthetics with her to REFRESH.  She is a licensed aesthetician, as well as being certified in Phlebotomy and IV Therapy.  

Her love of skin and everything beauty makes her an asset to achieve your beauty goals.  She is results-driven, using the newest, most effective treatments available.    

When she is not working, Christine enjoys spending time with her four children and two grandsons.  


Jess Valliere
Spa Manager 

Jess is married to Stephen and they have two kids - Asher and Ava Jaimes. They live out in the country in Davidson and are currently working on building their 'funny farm'. They have 3 dogs, 4 cats, some fish...and hope to add a goat one day!


Jess loves a theme party, vintage antiques, interior decorating, shopping, travel, reading, skincare and makeup!


"I believe that everyone deserves to feel beautiful so I am thrilled to be a part of the incredible team at REFRESH! I can’t wait to help you start your SKINvestment journey!"

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