Individual
MS. ELREUSE DESORMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 HILLSIDE AVE, GROTON, MA 01450-1284
(978) 421-6223
Mailing address
22 HILLSIDE AVE, GROTON, MA 01450-1284
(978) 421-6223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN91536
MA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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