Individual
MARIE-LOURDES DERISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
554 BOSTON POST RD # 175, ORANGE, CT 06477-3341
(203) 815-9279
Mailing address
554 BOSTON POST RD, 175, ORANGE, CT 06477
(203) 815-9279
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
479264
NY
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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