Individual
DEANNA KARDOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
190 GROTON RD, AYER, MA 01432-1124
(978) 772-2780
Mailing address
190 GROTON RD, AYER, MA 01432-1124
(978) 772-2780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
778
MA
Other
Enumeration date
05/10/2006
Last updated
10/29/2020
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