Individual
EGENIE DESIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 EDITH ST, EVERETT, MA 02149
(781) 691-7130
(781) 691-7130
Mailing address
102 EDITH ST, EVERETT, MA 02149-1749
(781) 691-7130
(781) 691-9398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2308132
MA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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