Individual
NADEGE DESIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
Mailing address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89901
MA
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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