Individual
ALYSSA DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3455 MAIN ST STE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
Mailing address
96 WILDFLOWER CIR, WESTFIELD, MA 01085-4590
(413) 454-1182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1142951
MA
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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