# DESEAN ROBERT FAUCETTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285388769
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | F-230-139-745-577 | MD | Yes |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 02/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F-230-139-745-577 | N/A | MD |