Individual
MR. MICHAEL F DESARNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
404 HAVEN LN, CLARKS SUMMIT, PA 18411-1430
(240) 416-4560
Mailing address
404 HAVEN LN, CLARKS SUMMIT, PA 18411-1430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628730-1
NY
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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