Individual
SUSAN B DESLAURIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
440 N MAIN ST, BRISTOL, CT 06010-1902
(860) 583-5858
(860) 584-9962
Mailing address
PO BOX 1280, BRISTOL, CT 06011-1280
(860) 585-3337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E38720
CT
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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