Individual
MS. DANIELLE SARAH DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3000
Mailing address
25 OLD TOWNE RD, CHESHIRE, CT 06410-3122
(203) 804-4812
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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