Individual
MR. STEIGMWARD DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERT HAIR LOSS SPECI
Contact information
Practice address
472 E ASHLAND ST, BROCKTON, MA 02302
(347) 328-7074
Mailing address
472 E ASHLAND ST, BROCKTON, MA 02302-2107
(347) 328-7074
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
902118
MA
Other
Enumeration date
06/05/2018
Last updated
06/20/2018
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