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Individual
MS. ERIN A DESMOND
Active
Individual
MS. ERIN A DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8189
MA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PID110170641A
—
MA
01
—
S400808223
MEDICARE PTN
MA
Enumeration date
04/17/2020
Last updated
09/07/2022
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